Individual provider · Type 1 NPI
Lucius Scipio Degregorio, MD
Student Health Clinic/Center · Newark, NJ
NPI number
1508700758
Active
Practice location
111 Central Ave
Newark, NJ 07102-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
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About NPI 1508700758
Lucius Scipio Degregorio, MD's National Provider Identifier is 1508700758, issued on Apr 17, 2026. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Newark, NJ. The record was last updated on Apr 17, 2026.