Individual
DR. JOSEPH LABRICCIOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1999 SPROUL RD, STE 21, BROOMALL, PA 19008-3508
(610) 353-5840
(610) 353-3420
Mailing address
1999 SPROUL RD, STE 21, BROOMALL, PA 19008-3508
(610) 353-5840
(610) 353-3420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006412E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1646455
BLUE SHIELD
PA
01
—
2324238001
KEYSTONE
PA
01
—
3566441
AETNA
PA
Enumeration date
06/13/2005
Last updated
02/21/2013
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