Individual
DR. MAURA BUCCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 YOUNG AVE STE 245B, MOORESTOWN, NJ 08057-3132
(856) 727-0900
(856) 231-8428
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 727-0900
(856) 231-8428
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT014477
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MB10025500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0590568
—
NJ
Enumeration date
06/06/2012
Last updated
02/19/2025
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