Individual
DR. LUCIAN J INTROCASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9370 N CRESCENT BLVD STE 200, PENNSAUKEN, NJ 08110-1375
(856) 662-0660
Mailing address
2 CRESTMONT LN, COLLINGSWOOD, NJ 08108-1487
(856) 662-0660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04506200
NJ
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
25MA04506200
NJ
Other
Enumeration date
01/15/2007
Last updated
09/11/2025
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