Individual
JACOB SCUTARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-6666
Mailing address
31 HAMLIN RD, EDISON, NJ 08817-2950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA11825900
NJ
207RI0200X
Infectious Disease Physician
Primary
25MA11825900
NJ
207RI0200X
Infectious Disease Physician
286492
NY
Other
Enumeration date
07/03/2013
Last updated
07/15/2024
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