Individual
MARK A DIPILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2630 WESTVIEW DR, WYOMISSING, PA 19610-1130
(610) 376-1981
(610) 376-3153
Mailing address
2630 WESTVIEW DR, WYOMISSING, PA 19610-1130
(610) 376-1981
(610) 376-3153
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
288686
MA
207W00000X
Ophthalmology Physician
MD044541E
PA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD044541E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1415500
—
PA
01
—
180026325
RAILROAD MEDICARE
PA
Enumeration date
01/24/2006
Last updated
08/09/2021
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