Individual
JENNIE STASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
251 S LINCOLN AVE, VINELAND, NJ 08361-7802
(856) 691-8188
(856) 691-0421
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
(908) 967-5488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00728400
NJ
Other
Enumeration date
05/08/2024
Last updated
06/11/2024
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