Individual provider · NPI-1

Vanessa Dipalma, PA

Physician Assistant, Medical · Wall Township, NJ

NPI number1811921489
StatusActive
Last updated in NPPESJul 5, 2018

Details

NPI
1811921489
Entity type
Individual (NPI-1)
Name
Vanessa Dipalma
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 10, 2006
Last updated
Jul 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical25MP00097900NJYes

Practice location

1967 State Route 34 Ste 102
Wall Township, NJ 07719

Phone 732-345-1180 · Fax 732-530-4476

Mailing address

200 Trenton Rd
Browns Mills, NJ 08015-1705

Phone 609-893-1200 · Fax 609-893-1213

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