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Contact Information

JACLYN CIAMPOLILLO
725 AIRPORT RD
LAKEWOOD TOWNSHIP, NJ08701-5968
 Phone: 732-276-1510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JACLYN CIAMPOLILLO · (Female)

NPI Number 1689226326
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2019
Last updated 07/12/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 37AC00367400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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