Individual
DR. LISA MARIE GUDICELLO
Active
Individual
DR. LISA MARIE GUDICELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
318455
NY
207W00000X
Ophthalmology Physician
MA06926700
NJ
Other
Enumeration date
01/11/2007
Last updated
01/26/2023
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