Healthcare Provider Details

I. General information

NPI: 1831454115
Provider Name (Legal Business Name): RALPH J NAPOLITANO JR DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2012
Last Update Date: 07/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 FOREST DR SUITE E
NEW ALBANY OH
43054-7085
US

IV. Provider business mailing address

5121 FOREST DR SUITE E
NEW ALBANY OH
43054-7085
US

V. Phone/Fax

Practice location:
  • Phone: 614-855-6960
  • Fax: 614-855-9430
Mailing address:
  • Phone: 614-855-6960
  • Fax: 614-855-9430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number36-003326
License Number StateOH

VIII. Authorized Official

Name: DR. RALPH J NAPOLITANO JR.
Title or Position: OWNER
Credential: DPM
Phone: 614-855-6960