IndividualActive
Terrill Lott
NPI 1295483469 · Phlebology Physician · Cedar Grove, NJ
Provider details
- NPI number
- 1295483469
- Entity type
- Individual
- Primary specialty
- Phlebology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 0450770928 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
91-93 Rte. 23 Pompton Ave.
Suite 1001
Cedar Grove, NJ 07009
Phone: (201) 815-0605
Approximate (ZIP-level) locationGet directions
Mailing address
91-93 Rte. 23 Pompton Ave.
Cedar Grove, NJ 07009
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2022-03-16
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.