# JOSEPH LABRICCIOSA D.O., P.C.

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

## Provider details

- **NPI number:** 1568622371
- **Authorized official:** DR. JOSEPH LABRICCIOSA D.O. (OWNER)
- **Authorized official phone:** (610) 353-5840

## Contact information

- **Practice address:** 1999 SPROUL RD, SUITE 21, BROOMALL, PA 19008-3508
- **Practice address phone:** (610) 353-5840
- **Practice address fax:** (610) 353-3420
- **Mailing address:** 1999 SPROUL RD, SUITE 21, BROOMALL, PA 19008-3508
- **Mailing address phone:** (610) 353-5840
- **Mailing address fax:** (610) 353-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 05/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1646455 | GROUP BLUE SHIELD | — |
| 01 | — | 2324238001 | GROUP KEYSTONE | — |