Provider Demographics
NPI:1346408747
Name:BARRUCCO, ROBERT JOHN JR (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:BARRUCCO
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:401 ROUTE 73 NORTH, SUITE 201A
Mailing Address - Street 2:7000 ATRIUM WAY
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3425
Mailing Address - Country:US
Mailing Address - Phone:856-840-4500
Mailing Address - Fax:856-291-6819
Practice Address - Street 1:2309 E EVESHAM RD
Practice Address - Street 2:SUITES 201 & 202
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1559
Practice Address - Country:US
Practice Address - Phone:856-325-5400
Practice Address - Fax:856-325-5416
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2024-02-22
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Provider Licenses
StateLicense IDTaxonomies
PAOS014039207RC0000X
NJ25MB08940100207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ026999Medicaid
225200YBAWMedicare PIN