Stanley John, PHYSICIAN ASSISTANT | |
324 W Clinton Ave, Bergenfield, NJ 07621-1903 | |
(917) 287-4154 | |
Not Available |
Full Name | Stanley John |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 324 W Clinton Ave, Bergenfield, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942567524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 25MP00395900 (New Jersey) | Secondary |
363A00000X | Physician Assistant | 015558 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stanley John, PHYSICIAN ASSISTANT 324 W Clinton Ave, Bergenfield, NJ 07621-1903 Ph: (917) 287-4154 | Stanley John, PHYSICIAN ASSISTANT 324 W Clinton Ave, Bergenfield, NJ 07621-1903 Ph: (917) 287-4154 |
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