Individual
DR. JUSTIN SCIANCALEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42 E LAUREL RD STE 3100-A, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-7002
Mailing address
42 E LAUREL RD STE 3100-A, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-7074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB09958400
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB09958400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2014
Last updated
03/15/2024
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