DR. JACK FACCIOLO, D.O.
Specialist
Active
Individual
NPI: 1558330076
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | MB039210 (NJ) |
Frequently Asked Questions
NPI 1558330076 is the National Provider Identifier for DR. JACK FACCIOLO, D.O., a Specialist provider located in Rio Grande, NJ. This NPI was enumerated on March 16, 2006.
DR. JACK FACCIOLO, D.O. practices at 1 SECLUDED LN, Rio Grande, NJ 08242.
Quick Facts
- NPI
- 1558330076
- Type
- Individual
- Enumerated
- Mar 16, 2006
- Last Updated
- Dec 1, 2009
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