MEDICARE: DR. JOSEPH J. CONTI 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	MB057229	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679552921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH J. CONTI D.O.

Provider Business Mailing Address
First Line	:	402 LIPPINCOTT DR
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-4112
Country	:	US
Telephone Number	:	856-782-3300
Fax Number	:	856-504-8029

Provider Business Practice Location Address
First Line	:	1405 CHEWS LANDING RD
Second Line	:	SUITE 14
City	:	LAUREL SPRINGS
State	:	NJ
Zip	:	08021-2769
Country	:	US
Telephone Number	:	856-227-6575
Fax Number	:	856-374-9495

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

Provider Enumeration Date	:	01/14/2006
Last Update Date	:	03/03/2010

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