| Thomas Scuderi Md,pa | |
|
80 Hazlet Ave Suite 10 Hazlet NJ 07730-1623 | |
| (732) 264-0400 | |
| (732) 264-1149 |
| Full Name | Thomas Scuderi Md,pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 80 Hazlet Ave, Hazlet, New Jersey |
| Authorized Official Name and Position | Thomas Scuderi (OWNER) |
| Authorized Official Contact | 7322640400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Scuderi Md,pa 80 Hazlet Ave Suite 10 Hazlet NJ 07730-1623 Ph: (732) 264-0400 | Thomas Scuderi Md,pa 80 Hazlet Ave Suite 10 Hazlet NJ 07730-1623 Ph: (732) 264-0400 |
| NPI Number | 1154583904 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154583904 | NPI | - | NPPES |
| 2947609 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MA02982800 (New Jersey) | Primary |
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