Antonio Loccisano, DO | |
300 W Route 38, Moorestown, NJ 08057-3424 | |
(856) 673-3960 | |
(856) 234-3921 |
Full Name | Antonio Loccisano |
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Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 300 W Route 38, Moorestown, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508363243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 25MB11476300 (New Jersey) | Primary |
Entity Name | Virtua Medical Group, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
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Antonio Loccisano, DO 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: () - | Antonio Loccisano, DO 300 W Route 38, Moorestown, NJ 08057-3424 Ph: (856) 673-3960 |
Dr. Joseph Henry Winston, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 E Main St, Moorestown, NJ 08057 Phone: 856-235-0290 Fax: 856-235-0601 | |
Isabel Hilary Pettigrew, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 740 Marne Hwy, Ste 206, Moorestown, NJ 08057 Phone: 856-234-6045 Fax: 856-234-0498 | |
Dr. Alan D. Dennison, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 110 Marter Ave, Bldg 500, Suite 503, Moorestown, NJ 08057 Phone: 856-608-8840 Fax: 856-722-1898 | |
Ryan Schroeder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Young Ave Ste 260a, Moorestown, NJ 08057 Phone: 856-291-8756 Fax: 856-291-8750 | |
Ria Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Young Ave Ste 260a, Moorestown, NJ 08057 Phone: 856-291-8756 | |
Dr. James E Crudele, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 285 S Church St, Suite 1, Moorestown, NJ 08057 Phone: 856-235-6116 Fax: 856-235-7329 | |
Dr. Dolores Peterson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 E Main St, Suite 5, Moorestown, NJ 08057 Phone: 856-727-0999 Fax: 856-727-7997 |