Gudicello, Lisa Marie
Gudicello, Lisa Marie is an sole proprietor health care provider with primary practice located at 440 Northern Pkwy , Ridgewood NJ 07450-1721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gudicello, Lisa Marie can be contacted via phone (201) 220-2654.Contact Information
Primary practice address
440 Northern Pkwy
Ridgewood NJ 07450-1721
Phone: (201) 220-2654
Fax: (201) 220-2654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MA06926700 | New Jersey |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 318455 | New York |
Profile Details
| NPI number | 1386794576 |
|---|---|
| LBN Legal business name | Gudicello, Lisa Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jan 26th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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