Provider Demographics
NPI:1477739936
Name:RALPH DIPRIMA MD PA
Entity Type:Organization
Organization Name:RALPH DIPRIMA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:DIPRIMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-975-8844
Mailing Address - Street 1:PO BOX 934836
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33093-4836
Mailing Address - Country:US
Mailing Address - Phone:954-975-8844
Mailing Address - Fax:
Practice Address - Street 1:2825 N STATE ROAD 7
Practice Address - Street 2:SUITE 203
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-975-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42639207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03657AMedicare PIN