Individual
NICOLE ELENA LASCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NICOLE LASCALA
Contact information
Practice address
20 SUMMIT ST, WEST ORANGE, NJ 07052-1501
(973) 736-2000
Mailing address
601 MONROE ST, APT. 1D, HOBOKEN, NJ 07030-6314
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
46TR00277600
NJ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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