Individual
GIUSEPPINA SCOTTODICARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HARPER DR, MOORESTOWN, NJ 08057-3208
(856) 380-1070
Mailing address
305 PLEASANT VALLEY AVE, MOORESTOWN, NJ 08057-2609
(856) 745-9395
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114017944
NPI
NJ
01
—
22-2703453
TAX I.D.
NJ
Enumeration date
10/27/2016
Last updated
10/27/2016
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