Individual
STACEY L HARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 DAVIS AVE FL 4, NEPTUNE, NJ 07753-4488
(302) 427-8329
Mailing address
PO BOX 95000-4535, PHILADELPHIA, PA 19195-0001
(732) 807-0800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00546500
NJ
363A00000X
Physician Assistant
MA003088L
PA
Other
Enumeration date
04/13/2011
Last updated
09/18/2024
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