Dipaolo, Patrick J

Dipaolo, Patrick J is an sole proprietor health care provider with primary practice located at 781 Bloomfield Ave , Montclair NJ 07042-1806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Dipaolo, Patrick J can be contacted via phone (973) 744-7979.

Contact Information

Primary practice address
781 Bloomfield Ave Montclair NJ 07042-1806
Phone: (973) 744-7979
Fax: (973) 744-8120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MA04681700 New Jersey

Profile Details

NPI number 1245341171
LBN Legal business name Dipaolo, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 14th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245341171 NPPES
New Jersey Other 633186 MEDICARE PTAN
New Jersey MEDICAID 5011604 MEDICARE PTAN

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