Individual
STACY ANN RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4248 HARBOR BEACH BLVD, BRIGANTINE, NJ 08203-1361
(609) 266-0400
(866) 912-0605
Mailing address
307 KIETRO DR, LINWOOD, NJ 08221-1522
(609) 412-0922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00343700
NJ
Other
Enumeration date
11/05/2014
Last updated
12/22/2023
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