Provider Demographics
NPI:1588819072
Name:JOSEPH W. SCERBO, DPM
Entity Type:Organization
Organization Name:JOSEPH W. SCERBO, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SCERBO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-545-2127
Mailing Address - Street 1:1205 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1672
Mailing Address - Country:US
Mailing Address - Phone:732-545-2127
Mailing Address - Fax:732-545-2089
Practice Address - Street 1:1205 EASTON AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1672
Practice Address - Country:US
Practice Address - Phone:732-545-2127
Practice Address - Fax:732-545-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00167500332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies