Individual
SCOTT PACIFIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 OVERLOOK RD, STE 311, SUMMIT, NJ 07901-3570
(908) 598-1500
Mailing address
PO BOX 48078, NEWARK, NJ 07101-4878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06200100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6515207
—
NJ
Enumeration date
01/13/2006
Last updated
01/29/2008
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