Individual
LISA PICASCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8878
(908) 673-7132
Mailing address
90 S MAIN ST, MIDDLETOWN, CT 06457-3649
(860) 358-6486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10414300
NJ
Other
Enumeration date
05/13/2014
Last updated
07/08/2019
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