Healthcare Provider Details

I. General information

NPI: 1841204666
Provider Name (Legal Business Name): JOSEPH J PECORA III DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 DUTCHTOWN HARLINGEN ROAD
BELLE MEAD NJ
08502-5115
US

IV. Provider business mailing address

9 DUTCHTOWN HARLINGEN ROAD
BELLE MEAD NJ
08502
US

V. Phone/Fax

Practice location:
  • Phone: 908-874-8883
  • Fax: 908-874-3595
Mailing address:
  • Phone: 908-874-8883
  • Fax: 908-874-3595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMB070954
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: