Provider Demographics
NPI:1407054471
Name:DEPALMA, JOHN ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTHONY
Last Name:DEPALMA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1617 ROUTE 88 W
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3010
Mailing Address - Country:US
Mailing Address - Phone:732-458-1903
Mailing Address - Fax:732-458-1906
Practice Address - Street 1:1617 ROUTE 88 W
Practice Address - Street 2:SUITE 101
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3010
Practice Address - Country:US
Practice Address - Phone:732-458-1903
Practice Address - Fax:732-458-1906
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2023-07-27
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB089286207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology