Provider Demographics
NPI:1831454115
Name:RALPH J NAPOLITANO JR DPM LLC
Entity type:Organization
Organization Name:RALPH J NAPOLITANO JR DPM LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAPOLITANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:614-855-6960
Mailing Address - Street 1:5121 FOREST DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-7085
Mailing Address - Country:US
Mailing Address - Phone:614-855-6960
Mailing Address - Fax:614-855-9430
Practice Address - Street 1:5121 FOREST DR
Practice Address - Street 2:SUITE E
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-7085
Practice Address - Country:US
Practice Address - Phone:614-855-6960
Practice Address - Fax:614-855-9430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36-003326213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty