Individual
DR. ANGELA SCEVOLA-DATTOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 RIVERSIDE AVE, RED BANK, NJ 07701-1063
(732) 219-6620
Mailing address
3458 NEELY RD, TRENTON, NJ 08641-5312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08567800
NJ
Other
Enumeration date
04/30/2009
Last updated
05/01/2018
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