Individual
STEPHANIE ANN BADALAMENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
101 OLD SHORT HILLS ROAD, SUITE 518, WEST ORANGE, NJ 07052
(973) 736-7546
Mailing address
101 OLD SHORT HILLS ROAD, SUITE 518, WEST ORANGE, NJ 07052
(973) 736-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA07142900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203695284
TAX ID
NJ
Enumeration date
10/03/2006
Last updated
01/11/2010
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