Tara Paccillo, MT

NPI #1376881151 in Milltown, New Jersey

Provider Information

NPI Number: 1376881151
Entity Type: Individual
Name: Tara Paccillo, MT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MT
Enumeration Date: Jan 29, 2013
Last Updated: Jan 29, 2013

Practice Location

Address: 196 RIVA AVE
City: Milltown
State: New Jersey
ZIP Code: 08850-2150
Phone: (732) 422-6364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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