Individual
LISA CIRCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1582 BROOKSIDE RD, MOUNTAINSIDE, NJ 07092-1602
(908) 358-8000
Mailing address
1582 BROOKSIDE RD, MOUNTAINSIDE, NJ 07092-1602
(908) 358-8000
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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