Provider Demographics
NPI:1871629378
Name:WHIPPLE, DOROTHY SANDY (MD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:SANDY
Last Name:WHIPPLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:112 WHITE HORSE PIKE
Mailing Address - Street 2:RT. 30
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1908
Mailing Address - Country:US
Mailing Address - Phone:856-546-8672
Mailing Address - Fax:856-546-5315
Practice Address - Street 1:112 WHITE HORSE PIKE
Practice Address - Street 2:RT. 30
Practice Address - City:HADDON HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:08035-1908
Practice Address - Country:US
Practice Address - Phone:856-546-8672
Practice Address - Fax:856-546-5315
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06763100207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC34208Medicare UPIN