Individual
MARY C STOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 KINGS HWY E, STE 105, HADDONFIELD, NJ 08033-2009
(856) 428-8992
(856) 428-9614
Mailing address
35 KINGS HWY E, STE 105, HADDONFIELD, NJ 08033-2009
(856) 428-8992
(856) 428-9614
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA04497000
NJ
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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