Individual
MARK D CIPOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 S CEDAR CREST BLVD STE 308, ALLENTOWN, PA 18103
(610) 402-1350
(610) 402-1356
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C10008548
DE
2086S0102X
Surgical Critical Care Physician
C10008548
DE
2086S0102X
Surgical Critical Care Physician
Primary
MD049909L
PA
2086S0127X
Trauma Surgery Physician
MD049909L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609883289
—
DE
Enumeration date
08/03/2006
Last updated
10/09/2019
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