Individual
STACI BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
499 BECKETT RD STE 202, SWEDESBORO, NJ 08085-1771
(856) 746-0220
Mailing address
534 MAJESTIC AVE, BELLMAWR, NJ 08031-1460
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
191941
NJ
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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