Individual
DR. MARILOU UDASCO RUSTIA-VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 OLD HOOK RD, WESTWOOD, NJ 07675-3123
(201) 358-3266
(201) 358-3644
Mailing address
95 PATRICK AVE, EMERSON, NJ 07630-1462
(201) 358-3266
(201) 358-3644
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
25MA05387700
NJ
Other
Enumeration date
02/04/2007
Last updated
07/15/2007
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