Individual
TONY L STAGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 BAYVIEW AVE, JERSEY CITY, NJ 07305-3306
(201) 681-0783
Mailing address
155 BAYVIEW AVE, JERSEY CITY, NJ 07305-3306
(201) 681-0783
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
NJ
101YP1600X
Pastoral Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
NJ
05
—
00
—
NJ
Enumeration date
07/29/2020
Last updated
09/12/2023
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