# P JOHN MARCUCCI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205944733
- **Authorized official:** MR. PAUL JOHN MARCUCCI JR. DDS (OWNER PRESIDENT DENTIST)
- **Authorized official phone:** (856) 697-2440

## Contact information

- **Practice address:** 556 NORTH HARDING HIGHWAY, VINELAND, NJ 08360-8713
- **Practice address phone:** (856) 697-2440
- **Practice address fax:** (856) 697-3770
- **Mailing address:** 556 NORTH HARDING HIGHWAY, VINELAND, NJ 08360-8713
- **Mailing address phone:** (856) 697-2440
- **Mailing address fax:** (856) 697-3770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI01342700 | NJ | Yes |
| 122300000X | Dentist | DS020230L | PA | — |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 08/22/2020