Healthcare Provider Details

I. General information

NPI: 1609061126
Provider Name (Legal Business Name): JOSEPH D'ORAZIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 08/20/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 COOPER ST FL 4
CAMDEN NJ
08102-1155
US

IV. Provider business mailing address

1 FEDERAL ST STE 200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-3040
  • Fax: 856-342-3049
Mailing address:
  • Phone: 848-288-6935
  • Fax: 732-790-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number25MA11860000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: