Individual
DR. STACEY R. BACHRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9100 WESCOTT DR, SUITE 103, FLEMINGTON, NJ 08822-4677
(908) 237-6910
(908) 948-1046
Mailing address
9100 WESCOTT DR, SUITE 103, FLEMINGTON, NJ 08822-4677
(908) 237-6910
(908) 948-1046
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA40973
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080160213
RAILROAD MEDICARE #
NJ
Enumeration date
11/08/2006
Last updated
09/04/2020
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