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Individual

DR. MELISSA MARIA SOTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
147 WOODPORT RD, SPARTA, NJ 07871-2339
(973) 726-0801
(973) 726-0802
Mailing address
147 WOODPORT RD, SPARTA, NJ 07871-2339
(973) 726-0801
(973) 726-0802

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA07760500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051144
NJ
Enumeration date
10/14/2005
Last updated
11/14/2012
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