MEDICARE: DR. ANNABELLE BELLO DIMAPILIS D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MB05392800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245229913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNABELLE BELLO DIMAPILIS D.O

Provider Business Mailing Address
First Line	:	5000 COX RD
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23060-9263
Country	:	US
Telephone Number	:	804-968-5700
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 ROUTE 130 BLDG C
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-2414
Country	:	US
Telephone Number	:	856-705-0685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	04/01/2021

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