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1295066181

NPI Code Detail

MEDICARE: DR. PETER JOSEPH SACCONE D.O.

MEDICARE: DR. PETER JOSEPH SACCONE 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	207R00000X	Internal Medicine Physician	04509	KY
2	207R00000X	Internal Medicine Physician	25MB0902500	NJ
3	207RP1001X	Pulmonary Disease Physician	04509	KY
4	207RP1001X	Pulmonary Disease Physician	25MB09025200	NJ
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	04509	KY
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MB09025200	NJ

General Provider Information

NPI Number	:	1295066181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER JOSEPH SACCONE D.O.

Provider Business Mailing Address
First Line	:	42 E LAUREL RD
Second Line	:	SUITE 3100
City	:	STRATFORD
State	:	NJ
Zip	:	08084-1354
Country	:	US
Telephone Number	:	856-566-6859
Fax Number	:	856-566-6952

Provider Business Practice Location Address
First Line	:	222 NEW RD STE 201
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1281
Country	:	US
Telephone Number	:	609-788-8593
Fax Number	:	609-904-6929

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

Provider Enumeration Date	:	01/18/2010
Last Update Date	:	01/06/2026

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Directions to “ DR. PETER JOSEPH SACCONE D.O.” Practice Location

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