Scollo, Paul

Scollo, Paul is an sole proprietor health care provider with primary practice located at 32 Jorgensen Ln , Fairfield NJ 07004-1216. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Scollo, Paul can be contacted via phone (973) 227-8596.

Contact Information

Primary practice address
32 Jorgensen Ln Fairfield NJ 07004-1216
Fax: (973) 227-8597
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 25MD00116700 New Jersey

Profile Details

NPI number 1164563839
LBN Legal business name Scollo, Paul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Dec 10th, 2012 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1164563839 NPPES
New Jersey MEDICAID 0401609

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