Dr. Paul Scollo
Foot Surgery
32 Jorgensen Ln
Fairfield
, New Jersey 07004-1216
Dr. Paul Scollo
Foot Surgery
32 Jorgensen Ln
Fairfield
, New Jersey 07004-1216
(973) 227-8597
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Paul Scollo
- 32 Jorgensen Ln
- Fairfield, NJ
- Zip : 07004-1216
- Fax : (973) 227-8597
- Phone : (973) 227-8596
Second Address
- Dr. Paul Scollo
- 32 Jorgensen Ln
- Fairfield, NJ
- Zip : 07004-1216
- Fax : (973) 227-8597
- Phone : (973) 227-8596
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 25MD00116700 | NJ |
National Provider Identifier
| NPI | 1164563839 |
|---|---|
| Provider Name | Dr. Paul Scollo |
| First Address | Fairfield, NJ 07004-1216 |
| Second Address | Fairfield, NJ 07004-1216 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2007 |
| Last Update Date | 10/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0401609 | (05) | NJ |
| T73078 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.