Provider Demographics
NPI:1417920968
Name:LA MOTTA, JOSEPH D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:LA MOTTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:6117 MAIN ST
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4660
Practice Address - Country:US
Practice Address - Phone:856-325-6600
Practice Address - Fax:856-673-4497
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA56440207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA05644000OtherSTATE LICENSE
NJF92058Medicare UPIN