Provider Demographics
NPI:1285676130
Name:MIRARCHI, JOSEPH ANTHONY (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:MIRARCHI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 FRIES MILL RD STE F1
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-2015
Mailing Address - Country:US
Mailing Address - Phone:856-875-8855
Mailing Address - Fax:856-728-5497
Practice Address - Street 1:188 FRIES MILL RD STE F1
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-2015
Practice Address - Country:US
Practice Address - Phone:856-875-8855
Practice Address - Fax:856-728-5497
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00171400213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ172660OtherHARRINGTON
NJ4203797OtherCIGNA
NJ1K6314OtherHEALTHNET OF NORTHEAST
NJ480012117OtherPALMETTO
NJ01007808101OtherAMERICHOICE
NJP511692OtherOXFORD
NJ0090223000OtherAMERIHEALTH
NJ0090223000OtherKEYSTONE
NJP511692OtherOXFORD
NJ0090223000OtherAMERIHEALTH
NJ480012117OtherPALMETTO
NJ0090223000OtherKEYSTONE