Basic Information
| Provider Information | |||||||||
| NPI: | 1871629378 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WHIPPLE | ||||||||
| FirstName: | DOROTHY | ||||||||
| MiddleName: | SANDY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 WHITE HORSE PIKE | ||||||||
| Address2: | RT. 30 | ||||||||
| City: | HADDON HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080351908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565468672 | ||||||||
| FaxNumber: | 8565465315 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 WHITE HORSE PIKE | ||||||||
| Address2: | RT. 30 | ||||||||
| City: | HADDON HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080351908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8565468672 | ||||||||
| FaxNumber: | 8565465315 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 12/28/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | 25MA06763100 | NJ | Y | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No ID Information.