Dr. James G. Iannucci
Family Doctor - Adult Medicine
24 Osborn Ln
Bridgeton
, New Jersey 08302-4528
Dr. James G. Iannucci
Family Doctor - Adult Medicine
24 Osborn Ln
Bridgeton
, New Jersey 08302-4528
(856) 451-6675
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. James G. Iannucci
- 24 Osborn Ln
- Bridgeton, NJ
- Zip : 08302-4528
- Fax : (856) 451-6675
- Phone : (856) 455-8745
Second Address
- Dr. James G. Iannucci
- 24 Osborn Ln
- Bridgeton, NJ
- Zip : 08302-4528
- Fax : (856) 451-6675
- Phone : (856) 455-8745
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | MA019173 | NJ |
National Provider Identifier
| NPI | 1275707721 |
|---|---|
| Provider Name | Dr. James G. Iannucci |
| First Address | Bridgeton, NJ 08302-4528 |
| Second Address | Bridgeton, NJ 08302-4528 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/04/2008 |
| Last Update Date | 16/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C52651 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.