Individual
DR. ANTONIOS DIMITRI DIMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 EVES DR STE 170, MARLTON, NJ 08053-3130
(732) 426-3420
(732) 242-7681
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(732) 741-0970
(848) 800-4801
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.149819
OH
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
25IA13080100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049932
—
OH
05
—
1234331
—
NJ
01
—
6746102
CIGNA
NJ
Enumeration date
04/02/2020
Last updated
07/17/2026
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