Whalio Doctors

NPI 1598728131

Jennifer L Buccigrossi, MD

Practitioner Pediatric Adolescent Medicine Physician Medford, NJ

Practice location

Address
520 Stokes Rd Ironstone Bldg B10, Medford, NJ 08055-2904
Phone
(609) 654-9112
Fax
(609) 654-7404
Mailing address
402 Lippincott Dr, Marlton, NJ 08053-4112

Registered specialties

Pediatric Adolescent Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 25MA07255200 (NJ)

Registry record

NPI
1598728131
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Apr 2006
Record last updated
25 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.