Organization
THOMAS SCUDERI MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SCUDERI MD (OWNER)
(732) 264-0400
Entity
Organization
Contact information
Practice address
80 HAZLET AVE, SUITE 10, HAZLET, NJ 07730-1623
(732) 264-0400
(732) 264-1149
Mailing address
80 HAZLET AVE, SUITE 10, HAZLET, NJ 07730-1623
(732) 264-0400
(732) 264-1149
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA02982800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2947609
—
NJ
Enumeration date
07/01/2008
Last updated
07/28/2008
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