Individual
DR. STACEN BUCHHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-6912
(856) 641-6023
Mailing address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10116800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2014
Last updated
09/18/2017
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