Individual
DR. STACY A BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
592B SPRINGFIELD AVE, WESTFIELD, NJ 07090-1026
(908) 233-8860
(908) 654-7728
Mailing address
592B SPRINGFIELD AVE, WESTFIELD, NJ 07090-1026
(908) 233-8860
(908) 654-7728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08431700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315016328
STATE LICENSE
MI
Enumeration date
10/18/2006
Last updated
07/01/2020
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