Provider Demographics
NPI:1356377949
Name:DIPPL, JULIA MARIE (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:MARIE
Last Name:DIPPL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7454 LANCASTER PIKE
Mailing Address - Street 2:SUITE 317
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-9265
Mailing Address - Country:US
Mailing Address - Phone:302-426-0123
Mailing Address - Fax:302-426-0133
Practice Address - Street 1:7454 LANCASTER PIKE
Practice Address - Street 2:SUITE 317
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-9265
Practice Address - Country:US
Practice Address - Phone:302-426-0123
Practice Address - Fax:302-426-0133
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10006056207R00000X
NJMA061278207R00000X
PAMD046371L207R00000X
NJ25MA06127800207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00655148OtherRAILROAD MEDICARE
NJ7573006Medicaid
DE1000032276Medicaid
NJ7573006Medicaid
NJ525000XZMMedicare PIN
NJ525000Medicare ID - Type Unspecified
DE1000032276Medicaid
51-0398648OtherTIN