Provider Demographics
NPI:1760542518
Name:PECCA, JO ANN DONNA (DO)
Entity Type:Individual
Prefix:
First Name:JO ANN
Middle Name:DONNA
Last Name:PECCA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 REDSTONE RDG
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2957
Mailing Address - Country:US
Mailing Address - Phone:856-768-9302
Mailing Address - Fax:856-768-4782
Practice Address - Street 1:WORKNET OCCUPATIONAL MEDICINE
Practice Address - Street 2:9370 RT. 130 N., STE 200
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110
Practice Address - Country:US
Practice Address - Phone:856-662-0660
Practice Address - Fax:856-662-0798
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB04899700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine