Individual
GARRETT STEPHEN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2148 N 2ND ST STE A, MILLVILLE, NJ 08332-1304
(856) 641-6022
Mailing address
117 W HIGH ST APT 211, GLASSBORO, NJ 08028-2585
(561) 702-5270
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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