Organization
STABLE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY WALLER (EXECUTIVE DIRECTO)
(609) 386-0650
Entity
Organization
Contact information
Practice address
116 W BROAD ST, BURLINGTON CITY, NJ 08016-1410
(609) 386-0650
(609) 386-0652
Mailing address
116 W BROAD ST, BURLINGTON CITY, NJ 08016-1410
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2000599
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401056
—
NJ
05
—
0473723
—
NJ
Enumeration date
02/23/2016
Last updated
02/23/2016
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