Individual
DR. ANTHONY IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 MEMBERS WAY STE 403, DOVER, NH 03820-5933
(603) 742-6664
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
16590
NH
207RR0500X
Rheumatology Physician
H68266
MD
207RR0500X
Rheumatology Physician
OS015568
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025797340001
—
PA
05
—
3098045
—
NH
Enumeration date
04/17/2007
Last updated
06/28/2022
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