Individual
STEPHANIE SIMONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1210 BRACE RD STE 103, CHERRY HILL, NJ 08034-3213
(856) 536-1515
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
26NJ01237000
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01237000
NJ
Other
Enumeration date
12/20/2021
Last updated
10/01/2024
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