Thomas Scuderi MD,pa
Clinic/Center, Primary Care in Hazlet, NJ. Organization (NPI-2).
NPI number1154583904
StatusActive
Last updated in NPPESJul 28, 2008
Details
- NPI
- 1154583904
- Entity type
- Organization (NPI-2)
- Legal business name
- Thomas Scuderi MD,pa
- Organization subpart
- No
- Enumeration date
- Jul 1, 2008
- Last updated
- Jul 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | MA02982800 | NJ | Yes |
Practice location
80 Hazlet AveSuite 10
Hazlet, NJ 07730-1623
Phone 732-264-0400 · Fax 732-264-1149
Mailing address
80 Hazlet AveSuite 10
Hazlet, NJ 07730-1623
Phone 732-264-0400 · Fax 732-264-1149
Authorized official
Thomas Scuderi
Owner
7322640400
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