Individual
SCOTT LISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
757 US-202, BRIDGEWATER, NJ 08807
(609) 394-6145
Mailing address
22 SHAWONDASEE RD, HIGHLAND LAKES, NJ 07422-1417
(973) 670-5575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00526300
NJ
Other
Enumeration date
06/05/2019
Last updated
05/13/2025
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