Healthcare Provider Details

I. General information

NPI: 1467451732
Provider Name (Legal Business Name): JAMES C SIPIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAMES C SIPIO MD

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 05/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E EVESHAM RD SUITE F
VOORHEES NJ
08043-9590
US

IV. Provider business mailing address

2401 E EVESHAM RD SUITE F
VOORHEES NJ
08043-9590
US

V. Phone/Fax

Practice location:
  • Phone: 856-673-1600
  • Fax: 856-424-7621
Mailing address:
  • Phone: 856-673-1600
  • Fax: 856-673-7621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMA49828
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: