Picciano, Laura S
Picciano, Laura S is an individual health care provider with primary practice located at 6100 Main Street The Ripa Center, Voorhees NJ 08043-4660. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Picciano, Laura S can be contacted via phone (856) 673-4912.Contact Information
Primary practice address
6100 Main Street The Ripa Center
Voorhees NJ 08043-4660
Phone: (856) 673-4912
Fax: (856) 938-2077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS009621L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB07361900 | New Jersey |
Profile Details
| NPI number | 1629040084 |
|---|---|
| LBN Legal business name | Picciano, Laura S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 5th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629040084 | NPPES |
| Pennsylvania | MEDICAID | 0017809080001 |
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