TARA PACCILLO MT
NPI 1376881151
Specialist in Milltown, NJ

Active since January 29, 2013
196 RIVA AVE, MILLTOWN, NJ 08850(732) 422-6364(732) 422-6360 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tara Paccillo Mt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA PACCILLO MT (NPI 1376881151) is an individual specialist in Milltown, New Jersey, licensed in New Jersey (18KT00273400) and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1376881151
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTARA PACCILLOCredential: MT
Location Address196 RIVA AVEMilltown, NJ 08850-2150
Mailing Address196 Riva AveMilltown, NJ 08850-2150 · (732) 422-6364 · Fax (732) 422-6360
Fax(732) 422-6360
Sole ProprietorNo
Enumeration DateJanuary 29, 2013
NPI 1376881151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 18KT00273400
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

196 RIVA AVE, Milltown, NJ 08850

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
196 RIVA AVE
MILLTOWN, NJ 08850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376881151, enumerated as an "individual" on January 29, 2013.

The provider is located at 196 RIVA AVE MILLTOWN, NJ 08850 and the phone number is (732) 422-6364.

Specialist with taxonomy code 174400000X.