Individual
ILANA ROSE STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 RAMAPO VALLEY RD, OAKLAND, NJ 07436-2702
(201) 651-0404
(201) 651-0909
Mailing address
32 FRANKLIN ST, TENAFLY, NJ 07670-2005
(201) 569-2400
(201) 569-6081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10579000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2016
Last updated
11/20/2019
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