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General NPI Number Information
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NPI Number | 1447272927
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Entity Type | Individual
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Provider Name | JOSEPH L MACCARONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 200 BOWMAN DR SUITE E325
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City | VOORHEES
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State | NJ
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Zip | 08043-9623
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Country | US
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Telephone | 856-247-7420
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Fax | 856-247-7421
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Provider Business Mailing Address
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Address Line | 7000 ATRIUM WAY SUITE 6
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3917
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Country | US
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Telephone | 856-840-4500
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Fax | 856-234-4241
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 25MA05576800
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License Number State | NJ
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