Individual
KIMBERLY ROSE STAWARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 BRIGGS RD STE 250, MOUNT LAUREL, NJ 08054
(856) 866-7466
(856) 866-9088
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA10277000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634280
—
NJ
Enumeration date
04/30/2013
Last updated
11/01/2024
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