Individual
JUSTIN MICHAEL PIPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3232
(302) 645-9500
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00611300
NJ
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0011448
DELAWARE PHYSICIAN ASSISTANT
DE
Enumeration date
09/29/2020
Last updated
11/11/2024
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