Individual
STEPHANIE NICOLE BIFULCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(551) 404-8428
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MP00809300
NJ
363A00000X
Physician Assistant
Primary
25MP00809300
NJ
Other
Enumeration date
10/16/2023
Last updated
05/11/2026
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