Individual
MICHAEL SCUDILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, CHC
Contact information
Practice address
26 COTTAGE LN, CLIFTON, NJ 07012-2104
(973) 916-1069
Mailing address
26 COTTAGE LN, CLIFTON, NJ 07012-2104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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