Individual
MICHAEL JOHN STAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470-2033
(973) 925-4111
(973) 925-7711
Mailing address
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470-2033
(973) 925-4111
(973) 925-7711
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00370500
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003718
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006501
PA
Other
Enumeration date
06/26/2013
Last updated
12/09/2022
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