Organization
STATIONMD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TURNER (REVENUE CYCLE MANAGER)
(908) 663-2929
Entity
Organization
Contact information
Practice address
515 VALLEY ST STE 203, MAPLEWOOD, NJ 07040-4300
(908) 663-2929
Mailing address
515 VALLEY ST STE 203, MAPLEWOOD, NJ 07040-4300
(908) 663-2929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
05/23/2024
Last updated
09/22/2025
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