Individual
JOSEPH PETER LAURELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 NATHAN DR, OLD BRIDGE, NJ 08857-2790
(973) 596-2850
Mailing address
54 NATHAN DR, OLD BRIDGE, NJ 08857-2790
(973) 596-2850
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
25MA02953600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000720011NDA
—
NJ
Enumeration date
05/14/2007
Last updated
07/08/2007
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