Individual
SCOTT G SOLTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 E GATE DR, GLENWOOD, NJ 07418-2007
(732) 640-5551
Mailing address
402 MAIN ST STE 100-289, METUCHEN, NJ 08840-1846
(732) 640-5551
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
C0840726
NY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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