Individual
STACIE MARZOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
1 DEGRAW AVE, TEANECK, NJ 07666-4000
(201) 928-0200
Mailing address
1 DEGRAW AVE, TEANECK, NJ 07666-4000
(201) 928-0200
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB10657500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2014
Last updated
10/31/2022
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