Individual
LISA DIANE IUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4096 ENGLISH CREEK AVE, EGG HARBOR TOWNSHIP, NJ 08234-5746
(609) 204-5357
(609) 272-7755
Mailing address
200 SCHULZ DR STE 2, RED BANK, NJ 07701-6745
(327) 426-3420
(732) 747-2606
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB10400100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0647276
—
NJ
Enumeration date
07/22/2013
Last updated
04/18/2024
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