Provider Demographics
NPI:1558303933
Name:PARLAVECCHIO, JOSEPH G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:PARLAVECCHIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 ROUTE 202
Mailing Address - Street 2:BLDG. D
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1490
Mailing Address - Country:US
Mailing Address - Phone:908-252-1522
Mailing Address - Fax:908-252-4546
Practice Address - Street 1:1130 ROUTE 202
Practice Address - Street 2:BLDG. D
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1490
Practice Address - Country:US
Practice Address - Phone:908-252-1522
Practice Address - Fax:908-252-4546
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA037753207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ071390Medicare PIN
NJE54132Medicare UPIN