Individual
LISA P ERCOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 WESCOTT DRIVE, FLEMINGTON, NJ 08822
(908) 788-6461
(908) 788-6412
Mailing address
2100 WESCOTT DRIVE, FLEMINGTON, NJ 08822
(908) 788-6461
(908) 788-6412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00529400
NJ
Other
Enumeration date
07/01/2019
Last updated
10/03/2019
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