Organization
THE STONE CENTER OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY SNYDER (CFO)
(973) 564-5642
Entity
Organization
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(862) 235-1983
(973) 564-5024
Mailing address
830 MORRIS TPKE STE 303, SHORT HILLS, NJ 07078-2620
(973) 564-5642
(973) 564-5024
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
22255
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114391
—
NJ
Enumeration date
12/20/2006
Last updated
02/05/2025
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