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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA MARIE GUDICELLO, M.D.

Active Sole Proprietor

DR. LISA MARIE GUDICELLO, M.D. is a Ophthalmology healthcare provider located in RIDGEWOOD, New Jersey. NPI 1386794576 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · RIDGEWOOD, NJ

Registration Details

NPI Number
1386794576
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2007 (19.627807078955 yrs)
Last Updated
Jan 26, 2023
Licenses
MA06926700 (NJ)
318455 (NY)
Sole Proprietor
Yes

Practice Information

Address
440 NORTHERN PKWY
RIDGEWOOD, NJ, 074501721
Browse NJ providers · Browse ZIP 07450
Phone
2012202654
Fax
2012202654
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
Ophthalmology

Other Ophthalmology Providers in RIDGEWOOD, NJ

Name Credential NPI
DR. LARISA KAYSERMAN MD 1417926361
DR. ROBERT V VALLAR MD 1750350609
DR. ANNE R SUMERS MD 1518921501
DR. BOYD H SEIDENBERG MD 1518992890
MURRAY A WOLKSTEIN MD 1023117132
DR. CHARLES TSAKRIOS JR. M.D. 1699860932
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.