Provider Demographics
NPI:1346788486
Name:DIPAOLO PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:DIPAOLO PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:DIPAOLO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-490-1800
Mailing Address - Street 1:193 TERCILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FANWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07023-1018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:193 TERCILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1018
Practice Address - Country:US
Practice Address - Phone:908-490-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty