Lawrence William Nisivoccia III

NPI 1710049077 - Specialist - 174400000X

NPI Details
NPI 1710049077
Gender Male
Enumeration Date 12/14/2006
Last Updated 01/07/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
14 LYN GALE CT
WASHINGTON NJ, 07882-4111, US
Phone (908) 835-8656
Fax
Business Location
14 LYN GALE CT
WASHINGTON NJ, 07882-4111, US
Phone (908) 835-8656
Fax
Toxanomy
Taxonomy Code 174400000X
License State New Jersey
License Number 40QA00727500
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According to our database, Mr. Lawrence William Nisivoccia III NPI is 1710049077, taxonomy code is 174400000X and license number is 40QA00727500, license state is located at New Jersey. Lawrence William Nisivoccia III physically located at 14 Lyn Gale Ct, Washington NJ, 07882-4111. NPI Number Lawrence William Nisivoccia III has the Individual type.

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1710049077 NPI number is provided on an as is basis without warranty of any kind. 1710049077 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence William Nisivoccia III are for informational purposes only.