Individual
STEPHANIE ACEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
201 ROUTE 17 FL 1202, RUTHERFORD, NJ 07070-2557
(201) 975-2323
(801) 581-5807
Mailing address
201 ROUTE 17 FL 1202, RUTHERFORD, NJ 07070-2557
(201) 975-2323
(801) 581-5807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00811300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2021
Last updated
10/12/2023
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