Individual
DR. PETER D SCIVOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
760 PARAMUS RD, PARAMUS, NJ 07652-1730
(201) 445-1819
(201) 445-3203
Mailing address
760 PARAMUS RD, PARAMUS, NJ 07652-1730
(201) 445-1819
(201) 445-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA30670
NJ
Other
Enumeration date
07/09/2006
Last updated
06/29/2010
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