Individual
TERRILL HENRY LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-93 RTE. 23 POMPTON AVE., SUITE 1001, CEDAR GROVE, NJ 07009
(201) 815-0605
Mailing address
91-93 RTE. 23 POMPTON AVE., SUITE 1001, CEDAR GROVE, NJ 07009
(201) 815-0605
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
0450770928
NJ
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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