Individual
JAY IRVING STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 MADISON AVE, MORRISTOWN, NJ 07960-6092
(973) 775-5151
(908) 673-7336
Mailing address
2 FRANKLIN PL, MORRISTOWN, NJ 07960-5305
(973) 267-7673
(973) 267-3270
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA03875700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244970602
—
NJ
Enumeration date
10/04/2006
Last updated
12/20/2017
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