Search › New Jersey › 174400000X
Tara Paccillo, MT
NPI 1376881151 · on the registry since 2013
Practice
- Address
- 196 Riva Ave
Milltown, NJ 08850 - Phone
- (732) 422-6364
- Fax
- (732) 422-6360
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-01-29
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