Individual
PHILIP MARK SCADUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
223 WEST MAIN ST, BOONTON, NJ 07005
(973) 335-8656
(973) 335-8986
Mailing address
PO BOX 95000 LB# 7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04449300
NJ
Other
Enumeration date
07/12/2006
Last updated
07/12/2018
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