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Individual

DR. NORMAN J STACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
VMD

Contact information

Practice address
2172 MILLBURN AVE, MAPLEWOOD, NJ 07040-2605
(973) 763-3445
(973) 763-2819
Mailing address
2172 MILLBURN AVE, MAPLEWOOD, NJ 07040-2605
(973) 763-3445
(973) 763-2819

Taxonomy

Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
01167
NJ

Other

Enumeration date
03/01/2010
Last updated
03/01/2010
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