Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE POLILLO
ActiveJACQUELINE POLILLO is a Contractor healthcare provider located in WOODBURY, New Jersey. NPI 1578030904 is currently active in the NPPES registry. Verify at CMS.
Contractor · WOODBURY, NJ
Registration Details
- NPI Number
- 1578030904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2018 (7.8389424174131 yrs)
- Last Updated
- Oct 24, 2018
- License
-
320512873 (NJ)
Practice Information
- Address
-
190 N EVERGREEN AVE STE 203WOODBURY, NJ, 080961862Browse NJ providers · Browse ZIP 08096
- Phone
- 8565794247
- Primary Specialty
-
Contractor
171W00000X
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.