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Individual

MR. ROBERT PAUL CIPOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
1161539
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000000
PRIMARY CARE
Enumeration date
02/12/2019
Last updated
02/12/2019
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