Healthcare Provider Details

I. General information

NPI: 1356377949
Provider Name (Legal Business Name): JULIA MARIE DIPPL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7454 LANCASTER PIKE SUITE 317
HOCKESSIN DE
19707-9265
US

IV. Provider business mailing address

7454 LANCASTER PIKE SUITE 317
HOCKESSIN DE
19707-9265
US

V. Phone/Fax

Practice location:
  • Phone: 302-426-0123
  • Fax: 302-426-0133
Mailing address:
  • Phone: 302-426-0123
  • Fax: 302-426-0133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA06127800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC10006056
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA061278
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD046371L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: