Individual
DR. PAUL SCOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
32 JORGENSEN LN, FAIRFIELD, NJ 07004-1216
(973) 227-8596
(973) 227-8597
Mailing address
32 JORGENSEN LN, FAIRFIELD, NJ 07004-1216
(973) 227-8596
(973) 227-8597
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
25MD00116700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401609
—
NJ
Enumeration date
02/08/2007
Last updated
12/10/2012
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