Claudia M. Petruncio DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB4695500 Issued in NJ

Legal business name

CLAUDIA M. PETRUNCIO DO PA

Practice address

2201 Chapel Ave W
Suite 106
Cherry Hill, NJ 08002-2048

Phone

(856) 488-6785

Fax

(856) 488-6495

NPI assigned

Jan 12, 2007

Last updated

Apr 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Claudia M. Petruncio, DO

Title

Physician

Phone

(856) 488-6785

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1003967662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "address_2": "SUITE 106",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6785",
            "fax_number": "856-488-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "address_2": "SUITE 106",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6785",
            "fax_number": "856-488-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA M. PETRUNCIO DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "PETRUNCIO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-488-6785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB4695500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Clark, MS, CCC-SLP
• Te'Niyah Clark
• Torie F Clark, PT
• Clarkcare LLC
• Claudia M. Petruncio DO
• Ceasario Claveria, DPT
• Erin Clawson
• Brian J Cleary, DPT
• Ashley Lauren Cleaver, PT, DPT
• Chris Clements

• Internal Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.