Individual
DR. STACY ELLEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
90 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041-1945
(973) 378-7990
(973) 378-7991
Mailing address
90 MILLBURN AVE, SUITE 101, MILLBURN, NJ 07041-1945
(973) 378-7990
(973) 378-7991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08604800
NJ
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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