Individual
DR. STACEY RIFKIN-ZENENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5437
(201) 487-7340
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-5437
(201) 487-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB06533400
NJ
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
25MB06533400
NJ
2080P0207X
Pediatric Hematology & Oncology Physician
MB065334
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8575908
—
NJ
Enumeration date
02/23/2006
Last updated
11/10/2020
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