Active NPIIndividual providerSole proprietor

Thomas J Stack, DO

Family Medicine in Montville, New Jersey

NPI Number1891808572
Practice location
170 Changebridge RD Bldg A3, Montville, NJ 07045-8802
Fax
—
Last updated
July 8, 2007

Thomas J. Stack is a Family Medicine based in Montville, NJ. Thomas J. Stack practices in Montville, NJ and has the professional credentials of DO. The NPI Number for Thomas J. Stack is 1891808572 and holds a License No. mbo58292 (NJ). The current practice location address for Thomas J. Stack is 170 Changebridge RD Bldg A3, Montville, NJ 07045-8802 and can be reached out via phone at 973-808-3200.

Provider Profile Details

NPI Number
1891808572
Provider Name
Thomas J. Stack
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
170 Changebridge RD Bldg A3, Montville, NJ 07045-8802
Phone Number
973-808-3200
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Changebridge RD Bldg A3
Montville, NJ 07045-8802
Zip
07045-8802
Phone Number
973-808-3200
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
170 Changebridge RD
A-3
Montville, NJ 07045-9115
City
Montville
State
NJ
Zip
07045-9115
Phone Number
973-808-3200
Fax Number
973-808-3202

License Information

License Number
mbo58292
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Thomas J Stack, DO?

The NPI number of Thomas J Stack, DO is 1891808572. It was assigned on August 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Thomas J Stack, DO?

Thomas J Stack, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number mbo58292.

Where does Thomas J Stack, DO practice?

The practice location is 170 Changebridge RD Bldg A3, Montville, NJ 07045-8802. The office can be reached at 973-808-3200 (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 1891808572 directly on the NPPES registry website.

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