Individual
MICHAEL ROBERT CIPOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SAINT GEORGES AVE STE F, AVENEL, NJ 07001-1000
(571) 356-6742
Mailing address
35 DANVERS CIR, NEWARK, DE 19702-2722
(302) 494-9276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01167200
NJ
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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