Individual
STACEY WOJCULEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1301 SPRINGDALE RD, CHERRY HILL, NJ 08003-2763
(856) 424-4444
(856) 673-2589
Mailing address
2 KNOX BLVD, MARLTON, NJ 08053-2915
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01133800
NJ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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