Dipillo, Mark A
Dipillo, Mark A is an individual health care provider with primary practice located at 2630 Westview Dr , Wyomissing PA 19610-1130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Dipillo, Mark A can be contacted via phone (610) 376-1981.Contact Information
Primary practice address
2630 Westview Dr
Wyomissing PA 19610-1130
Phone: (610) 376-1981
Fax: (610) 376-3153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD044541E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 288686 | Massachusetts |
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | MD044541E | Pennsylvania |
Profile Details
| NPI number | 1073583902 |
|---|---|
| LBN Legal business name | Dipillo, Mark A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Aug 9th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073583902 | NPPES |
| Pennsylvania | MEDICAID | 1415500 | |
| Pennsylvania | Other | 180026325 |
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