Individual
LINDA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
331 JIMMIE LEEDS ROAD, GALLOWAY, NJ 08205
(609) 652-6016
(609) 652-2406
Mailing address
22 N FRANKLIN BLVD, PLEASANTVILLE, NJ 08232-2547
(609) 272-0655
(609) 272-9188
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA40860
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2211009
—
NJ
Enumeration date
04/23/2007
Last updated
11/02/2011
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