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NPI Code Detail

MEDICARE: DR. JOHN J VISCI MD

MEDICARE: DR. JOHN J VISCI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMA04863400NJ

General Provider Information

NPI Number : 1013975499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J VISCI MD
Provider Business Mailing Address
First Line : 402 LIPPINCOTT DR
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4112
Country : US
Telephone Number : 856-782-3300
Fax Number : 856-504-8029
Provider Business Practice Location Address
First Line : 169 MINE BROOK RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2109
Country : US
Telephone Number : 908-766-0034
Fax Number : 908-766-4387
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 03/05/2010

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