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1508363243
ANTONIO LOCCISANO
MOORESTOWN, NJ
NPI
1508363243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine Sports Medicine
(Licence: NJ 25MB11476300)
Enumeration Date
2018-04-10
Last Update Date
2023-11-27
Business Address
ANTONIO LOCCISANO DO
300 W ROUTE 38
MOORESTOWN, NJ 08057-3424
Phone number: 856-673-3960
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Mailing Address
ANTONIO LOCCISANO DO
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number:
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