DR. PAUL J. DIMUZIO M.D. NPI 1942220629

NPI Information

NPI: 1942220629
Provider Name: DR. PAUL J. DIMUZIO, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Organization: JEFFERSON UNIVERSITY PHYSICIANS

PECOS Registration: Yes

Address:
111 S 11TH ST
SUITE 6360
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-8830
Get Directions

DR. Paul J. Dimuzio, M.D. is a vascular surgery surgery in Philadelphia, PA with 35 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Paul J. Dimuzio, M.D. NPI is 1942220629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1989

The provider's business location address is:

111 S 11TH ST
SUITE 6360
PHILADELPHIA, PA
ZIP 19107-824
Phone: (215) 955-8830
Fax: (215) 923-0835

The NPI 1942220629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 5/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		MD045211L	PENNSYLVANIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD045211L	PENNSYLVANIA	No
3	2085R0204X	Radiology	Vascular & Interventional Radiology	MD045211L	PENNSYLVANIA	No
4	2086S0129X	Surgery	Vascular Surgery	MD045211L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	878147	MEDICARE PIN	PENNSYLVANIA
2	001598017	MEDICAID	PENNSYLVANIA
3	7018703	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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