Individual
STACEY TAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8601
(908) 277-8706
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
227003
NY
208000000X
Pediatrics Physician
Primary
25MA08688600
NJ
Other
Enumeration date
03/31/2006
Last updated
02/04/2025
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