Search › New Jersey › 174400000X
Jack Facciolo, D.O
NPI 1558330076 · on the registry since 2006
Practice
- Address
- 1 Secluded Ln
Rio Grande, NJ 08242 - Phone
- (609) 368-1952
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-12-01
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