Individual
REBECCA STANZIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 NAMI LN STE 8, TRENTON, NJ 08619-1251
(609) 631-9006
Mailing address
33 LONGVIEW DR, HOLMDEL, NJ 07733-1680
(732) 796-4856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MP00790000
NJ
363A00000X
Physician Assistant
Primary
25MP00790000
NJ
363AM0700X
Medical Physician Assistant
25MP00790000
NJ
Other
Enumeration date
07/31/2023
Last updated
06/16/2025
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