Individual
LISA MAY DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
653 WILLOW GROVE ST, SUITE 2200, HACKETTSTOWN, NJ 07840-1732
(908) 852-7770
(908) 852-7755
Mailing address
653 WILLOW GROVE ST, SUITE 2200, HACKETTSTOWN, NJ 07840-1732
(908) 852-7770
(908) 852-7755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MB077754
NJ
Other
Enumeration date
09/20/2006
Last updated
07/09/2007
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