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Individual

DR. MARY K. STAILEY-SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 582-2816
(856) 582-2712
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MB74225
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8979006
NJ
Enumeration date
07/02/2006
Last updated
05/24/2013
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