Individual
CHARLES M. STIVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 748-7089
(609) 652-3460
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS012844
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MB10453400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0666726
—
NJ
05
—
100816858
—
PA
Enumeration date
09/23/2005
Last updated
12/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us