Individual
NANCY STAATS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 AVENUE AT THE CMN, SHREWSBURY, NJ 07702-4802
(732) 380-0125
Mailing address
47 ORCHARD LN, COLTS NECK, NJ 07722-1569
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07734600
NJ
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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