Individual
STEPHANIE CONCETTA DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 CORBETT WAY, EATONTOWN, NJ 07724-2263
(732) 460-9555
Mailing address
32 CORBETT WAY, EATONTOWN, NJ 07724-2263
(732) 460-9555
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MP00628700
NJ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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