Individual
STACEY ANN MILLER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 PRINCETON AVE, PRINCETON, NJ 08540-1617
(609) 924-8131
(609) 924-8532
Mailing address
325 PRINCETON AVE, PRINCETON, NJ 08540-1617
(609) 924-8131
(609) 924-8532
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA08436300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144202ACD
MEDICARE PTAN
—
Enumeration date
09/10/2008
Last updated
09/30/2019
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