Individual
MARTHA STANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950-2315
(862) 242-8053
Mailing address
803 MOUNTAIN AVE APT C, SPRINGFIELD, NJ 07081-3442
(203) 598-1815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00476400
NJ
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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