Individual
DR. ALBERT MARTIN DIPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
813 EAST GATE DRIVE, MOUNT LAUREL, NJ 08054
(856) 222-9119
(856) 222-9907
Mailing address
104 EASTON CT, SICKLERVILLE, NJ 08081-4309
(609) 670-0638
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA04524300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2329409
—
NJ
Enumeration date
06/09/2005
Last updated
07/17/2008
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