Basic Information
Provider Information
NPI: 1477967958
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DINERMAN BIN-NUN
FirstName: ELLEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5649 BEACON ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152172011
CountryCode: US
TelephoneNumber: 3473853334
FaxNumber: 4155200904
Practice Location
Address1: 1501 M ST NW STE 450
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200051726
CountryCode: US
TelephoneNumber: 2022047092
FaxNumber: 2026600025
Other Information
ProviderEnumerationDate: 06/12/2014
LastUpdateDate: 11/15/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X260779MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X475210PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD045587DCY193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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