Individual
FRANK J. STAFFORD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2250 CHAPEL AVE W, CHERRY HILL, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Mailing address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00129900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177555
—
NJ
01
—
P00755957
RAILROAD MEDICARE
NJ
Enumeration date
09/11/2007
Last updated
05/18/2016
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