Individual
ANTONIO LOCCISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 W ROUTE 38, MOORESTOWN, NJ 08057-3424
(856) 673-3960
(856) 234-3921
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB11476300
NJ
Other
Enumeration date
04/10/2018
Last updated
11/27/2023
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