Healthcare Provider Details

I. General information

NPI: 1780596437
Provider Name (Legal Business Name): CASSANDRA JEANNE DI DIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 SAINT PAUL ST
BALTIMORE MD
21202-2123
US

IV. Provider business mailing address

2740 ANSLEY DR
FINKSBURG MD
21048-1228
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9000
  • Fax:
Mailing address:
  • Phone: 443-721-9964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberR239671
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: