Stafford Medical PA
Non-Pharmacy Dispensing Site in Manahawkin, New Jersey
1093052102- Practice location
- 1364 Route 72 W, 2, Manahawkin, NJ 08050-2485
- Phone
- 609-597-3416
- Fax
- —
- Last updated
- January 9, 2013
Stafford Medical PA is a healthcare organization based in Manahawkin, NJ. Stafford Medical PA practices in Manahawkin, NJ. The NPI Number for Stafford Medical PA is 1093052102 and holds a License No. 25MA066536 (NJ). The current practice location address for Stafford Medical PA is 1364 Route 72 W, 2, Manahawkin, NJ 08050-2485 and can be reached out via phone at 609-597-3416.
Provider Profile Details
- NPI Number
- 1093052102
- Provider Name
- Stafford Medical PA
- Provider Entity Type
- Organization
- Address
- 1364 Route 72 W, 2, Manahawkin, NJ 08050-2485
- Phone Number
- 609-597-3416
- Primary Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X
- Organization Subpart
- Yes
- Parent Organization
- Medvantx INC
- Authorized Official
- Kenny Heine · Vp Ops · 858-964-1506
- Provider Enumeration Date
- January 9, 2013
- Last Update Date
- January 9, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1364 Route 72 W
2
Manahawkin, NJ 08050-2485 - City
- Manahawkin
- State
- New Jersey
- Zip
- 08050-2485
- Phone Number
- 609-597-3416
Provider Business Mailing Address Details
- Address
- 5626 Oberlin Dr
110
San Diego, CA 92121-1705 - City
- San Diego
- State
- CA
- Zip
- 92121-1705
License Information
- License Number
- 25MA066536
- License State
- NJ
- Taxonomy
- Non-Pharmacy Dispensing Site · 332900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stafford Medical PA?
The NPI number of Stafford Medical PA is 1093052102. It was assigned on January 9, 2013 and is currently active in the NPPES registry.
What is the specialty of Stafford Medical PA?
Stafford Medical PA is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MA066536.
Where does Stafford Medical PA practice?
The practice location is 1364 Route 72 W, 2, Manahawkin, NJ 08050-2485. The office can be reached at 609-597-3416 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093052102 directly on the NPPES registry website.