Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA PACCILLO, MT
ActiveTARA PACCILLO, MT is a Specialist healthcare provider located in MILLTOWN, New Jersey. NPI 1376881151 is currently active in the NPPES registry. Verify at CMS.
Specialist · MILLTOWN, NJ
Registration Details
- NPI Number
- 1376881151
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2013 (13.5038724685 yrs)
- Last Updated
- Jan 29, 2013
- License
-
18KT00273400 (NJ)
Practice Information
- Address
-
196 RIVA AVEMILLTOWN, NJ, 088502150Browse NJ providers · Browse ZIP 08850
- Phone
- 7324226364
- Fax
- 7324226360
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.