Individual
DR. JESSE JOSEPH STAWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1235 WHITEHORSE MERCERVILLE RD, SUITE 316 BLDG. C, MERCERVILLE, NJ 08619-3810
(609) 581-5586
(609) 581-5779
Mailing address
9 HAMTON CT E, ROBBINSVILLE, NJ 08691-3640
(609) 581-5586
(609) 581-5779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB46599
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047593100
AMERIHEALTH/KEYSTONE/PERS
NJ
01
—
0927766
CIGNA
NJ
01
—
110207564
MEDICARE RAILROAD
NJ
01
—
1K3956
PHS/HEALTHNET
NJ
01
—
2158854000
AMERIHEALTH 65
NJ
01
—
223709512
GREAT WEST
NJ
01
—
2261107
AETNA
NJ
01
—
4208912
TRADITIONAL AETNA
NJ
05
—
5404703
—
NJ
01
—
645148
AMERIHEALTH ADMIN.
NJ
01
—
987766
UNITED HEALTHCARE
NJ
01
—
MEP111
OXFORD
NJ
Enumeration date
12/29/2005
Last updated
10/13/2011
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