George J. Petruncio, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GEORGE J. PETRUNCIO, M.D., P.A.

Practice address

188 Fries Mill Rd
Suite E-1
Turnersville, NJ 08012-2015

Phone

(856) 875-7700

Fax

(856) 262-0428

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

George John Petruncio, M.D.NPI 1689709586

Title

President

Phone

(856) 875-7700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George John Petruncio, M.D.

  • Family Medicine Physician
  • Turnersville, NJ
  • NPI 1689709586
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013042936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD",
            "address_2": "SUITE E-1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122015",
            "telephone_number": "856-875-7700",
            "fax_number": "856-262-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD",
            "address_2": "SUITE E-1",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122015",
            "telephone_number": "856-875-7700",
            "fax_number": "856-262-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE J. PETRUNCIO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRUNCIO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-875-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela D.C. Gelin, LAC
• Angie Giang
• Wesley Giang
• Elaine Gismondi, BA
• David Gold, PT
• Gary Jeffrey Goldberg, LCSW

• Family Medicine Physician in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.