Individual
DR. ANTONIO LOCCISANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
131 ROUTE 70 STE 100A, MEDFORD, NJ 08055-9501
(609) 267-9400
(609) 451-5518
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(609) 267-9400
(609) 451-5518
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB11476300
NJ
Other
Enumeration date
04/10/2018
Last updated
05/20/2026
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