Individual
DR. MICHELLE L. IACARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
39 OLCOTT SQ, BERNARDSVILLE, NJ 07924-2317
(908) 221-1919
(908) 221-1005
Mailing address
39 OLCOTT SQ, BERNARDSVILLE, NJ 07924-2317
(908) 221-1919
(908) 221-1005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08365400
NJ
207Q00000X
Family Medicine Physician
OS009282L
PA
Other
Enumeration date
03/21/2006
Last updated
03/19/2008
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