Doctor Name: | DR. LUCIAN J INTROCASO |
NPI Number: | 1386795680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA04506200 |
Business Practice Address: | 9370 N Crescent Blvd Ste 200 Pennsauken, NJ - 081101375 |
Business Phone Number: | 8566620660 |
Business Fax Number: | |
Mailing Address: | 2 Crestmont Ln, COLLINGSWOOD |
State: | NJ |
Postal Code: | 081081487 |
Phone Number: | 8566620660 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 25MA04506200 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |