Individual
STEPHANIE K. GOZDZIALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
499 BECKETT RD, SUITE 201 B, LOGAN TOWNSHIP, NJ 08085-1766
(856) 467-6400
Mailing address
499 BECKETT RD, SUITE 201 B, LOGAN TOWNSHIP, NJ 08085-1766
(856) 467-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00198100
NJ
Other
Enumeration date
07/25/2006
Last updated
01/18/2011
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