IndividualActive
Laura Didomenico, M.D.
NPI 1861925158 · Neurology with Special Qualifications in Child Neurology Physician · Philadelphia, PA
Provider details
- NPI number
- 1861925158
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD480381 (PA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MD480381 (PA)
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Suite M975
Philadelphia, PA 19104-3364
Phone: (215) 514-3451
Approximate (ZIP-level) locationGet directions
Mailing address
3333 Burnet Ave
Cincinnati, OH 45229-3026
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.