Individual
STACY J. DOUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 ROUTE 66, BUILDING 5, NEPTUNE, NJ 07753-2622
(732) 643-4350
(732) 643-4398
Mailing address
3535 ROUTE 66, BUILDING 5, NEPTUNE, NJ 07753-2622
(732) 643-4350
(732) 643-4398
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA08000300
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
25MA08000300
NJ
Other
Enumeration date
10/02/2006
Last updated
04/24/2008
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