Provider Demographics
NPI:1225152234
Name:VIRONE, JOSEPH ARTHUR
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:VIRONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 RUSHWICK RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3308
Mailing Address - Country:US
Mailing Address - Phone:856-778-3936
Mailing Address - Fax:
Practice Address - Street 1:1704 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6148
Practice Address - Country:US
Practice Address - Phone:215-732-7622
Practice Address - Fax:215-732-7626
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician