Search › New Jersey › 122300000X
Clelia Ilacqua, DDS
NPI 1265652416 · on the registry since 2007
Practice
- Address
- 5 Cold Hill Rd
Suite 7
Mendham, NJ 07945 - Phone
- (973) 543-5700
- Fax
- (973) 543-5722
- Organisation at this address
- Mendham Pediatric Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey