Individual
DR. THOMAS J DIFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9800 VALPARAISO DR, MUNSTER, IN 46321-4040
(219) 934-9800
(219) 924-8831
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02001896A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
02001896
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200240150
—
IN
01
—
473060K7
MEDICARE
IN
Enumeration date
05/26/2006
Last updated
05/16/2023
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