Individual
JEFFREY DIPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 974-8011
(732) 974-8820
Mailing address
PO BOX 3131, POINT PLEASANT BORO, NJ 08742-6131
(732) 974-8011
(732) 974-8820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06055800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6235905
—
NJ
Enumeration date
10/03/2006
Last updated
12/15/2015
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