Individual
DR. PETER LAWRENCE DE SCISCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
283 HIGH ST, PERTH AMBOY, NJ 08861
(732) 826-1530
(732) 826-2043
Mailing address
283 HIGH ST, PERTH AMBOY, NJ 08861
(732) 826-1530
(732) 826-2043
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI15245
NJ
Other
Enumeration date
02/23/2007
Last updated
05/30/2013
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