Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 017692 | NJ |
NPI | 1003812546 |
---|---|
Provider Name | Dr. Frank Pasquale Scartozzi |
First Address | Closter, NJ 07624-2012 |
Second Address | Closter, NJ 07624-2012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 08/07/2007 |