Provider Demographics
NPI:1467451732
Name:SIPIO, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:SIPIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:C
Other - Last Name:SIPIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2401 E EVESHAM RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-9590
Mailing Address - Country:US
Mailing Address - Phone:856-673-1600
Mailing Address - Fax:856-673-7621
Practice Address - Street 1:2401 E EVESHAM RD
Practice Address - Street 2:SUITE F
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-9590
Practice Address - Country:US
Practice Address - Phone:856-673-1600
Practice Address - Fax:856-424-7621
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA49828208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2132508Medicaid
NJ054739DKLMedicare ID - Type Unspecified
NJ2132508Medicaid