Individual
LATISSE MONIQUE MAYS-STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 865-8553
(973) 282-0562
Mailing address
168 MARION DR, WEST ORANGE, NJ 07052-3315
(973) 865-8553
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08262500
NJ
Other
Enumeration date
01/15/2008
Last updated
07/30/2024
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