Individual
LORI SCUDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 COTTAGE LN, CLIFTON, NJ 07012-2104
(973) 698-3553
Mailing address
26 COTTAGE LN, CLIFTON, NJ 07012-2104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TA09109600
NJ
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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