Individual
STACEY MONTEFUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4810 BELMAR BLVD, NEPTUNE, NJ 07753-6952
(732) 938-6090
(732) 938-5680
Mailing address
157 LEE AVE, BELFORD, NJ 07718-1514
(301) 535-8944
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MT00138800
NJ
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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