Individual provider · Type 1 NPI
Paul Scollo, D.P.M.
Foot Surgery Podiatrist · Fairfield, NJ
NPI number
1164563839
Active
Practice location
32 Jorgensen Ln
Fairfield, NJ 07004-1216
Fax (973) 227-8597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 25MD00116700 (NJ) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1164563839
Paul Scollo, D.P.M.'s National Provider Identifier is 1164563839, issued on Feb 8, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Fairfield, NJ. The record was last updated on Dec 10, 2012.