Individual
MR. SCOTT CARMINE MASULLO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003-5554
(973) 338-1900
Mailing address
154 WATCHUNG PL, NUTLEY, NJ 07110-2031
(973) 943-7333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01370400
NJ
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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