Jacqueline Polillo

NPI 1578030904 · on the registry since 2018

Practice

Address: 190 N Evergreen Ave Ste 203
Woodbury, NJ 08096
Phone: (856) 579-4247
Organisation at this address: Hollychase, Llc
Garden State Psychiatric Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Contractor
171W00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-10-24

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