Individual
MS. BRIARLY ANN STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8200
Mailing address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00116300
NJ
363A00000X
Physician Assistant
Primary
25MP00146400
NJ
Other
Enumeration date
10/24/2006
Last updated
10/28/2012
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