Individual
THOMAS J DEPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
5625 RIDGE RD, PARMA, OH 44129-2633
(440) 884-4100
(440) 884-4742
Mailing address
5625 RIDGE RD, PARMA, OH 44129-2633
(440) 884-4100
(440) 884-4742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003030
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049590
—
OH
01
—
480027507
RAILROAD MEDICARE
OH
Enumeration date
07/03/2006
Last updated
05/20/2008
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