Individual
HEATHER STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
175 CROSS KEYS RD STE 300A, BERLIN, NJ 08009-9263
(856) 767-0077
(856) 767-6102
Mailing address
175 CROSS KEYS RD STE 300A, BERLIN, NJ 08009-9263
(856) 767-0077
(856) 767-6102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00499000
NJ
363A00000X
Physician Assistant
PA222088
OR
Other
Enumeration date
11/08/2018
Last updated
01/07/2025
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