Healthcare Provider Details

I. General information

NPI: 1962601278
Provider Name (Legal Business Name): JOSEPH P. CURRERI, D.O., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2007
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 LEXINGTON AVE
MERCHANTVILLE NJ
08109-2031
US

IV. Provider business mailing address

124 LEXINGTON AVE
MERCHANTVILLE NJ
08109-2031
US

V. Phone/Fax

Practice location:
  • Phone: 856-663-1121
  • Fax: 856-661-9818
Mailing address:
  • Phone: 856-663-1121
  • Fax: 856-661-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MB05685600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number25MB05685600
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MB05685600
License Number StateNJ

VIII. Authorized Official

Name: DR. JOSEPH PETER CURRERI
Title or Position: PRESIDENT
Credential: D.O.
Phone: 856-663-1121