Healthcare Provider Details

I. General information

NPI: 1326134487
Provider Name (Legal Business Name): JOSEPH E PARRILLO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CENTENNIAL BLVD BUILDING 2 SUITE 202
VOORHEES NJ
08043-4637
US

IV. Provider business mailing address

1 COOPER PLZ 3 DORRANCE
CAMDEN NJ
08103-1461
US

V. Phone/Fax

Practice location:
  • Phone: 856-325-6700
  • Fax: 856-325-6702
Mailing address:
  • Phone: 856-342-2604
  • Fax: 856-968-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberBP7735535
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: