MEDICARE: DR. TONY JOSEPH DIPALMA DO

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	34.008990	OH

General Provider Information

NPI Number	:	1467665117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY JOSEPH DIPALMA DO

Provider Business Mailing Address
First Line	:	3000 MEADOW POND CT
Second Line	:	SUITE 100
City	:	GROVE CITY
State	:	OH
Zip	:	43123-9827
Country	:	US
Telephone Number	:	614-875-3592
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 MEADOW POND CT
Second Line	:	SUITE 100
City	:	GROVE CITY
State	:	OH
Zip	:	43123-9827
Country	:	US
Telephone Number	:	614-875-3592
Fax Number	:

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	10/26/2012

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