Individual
ALEXANDER SCOPELLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 OAK HILL RD, RED BANK, NJ 07701-5727
(732) 741-2313
Mailing address
80 OAK HILL RD, RED BANK, NJ 07701-5727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00534800
NJ
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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