Individual
STEPHANIE WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 775-5500
Mailing address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NJ
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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