Individual ProviderJames R DilulloCounselorBehavioral Health & Social Service ProvidersPractice Address280 Jackson Rd, Atco, NJ 08004-1645(856) 767-5757PECOS EnrollmentBased on the most recent information from CMS, provider James R Dilullo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1699044313Provider TypeIndividualFull NameDilullo, James RGenderMaleSole ProprietorNoEnumeration Date12/27/2011Last Updated12/27/2011Contact InformationPractice LocationPractice Address280 Jackson Rd, Atco, NJ 08004-1645Phone(856) 767-5757FaxUnlisted FaxMailing LocationMailing Address280 Jackson Rd, Atco, NJ 08004-1645Phone(856) 767-5757FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer