| Stephanie Carmen Custodio, | |
|
25 E Broad St, Bridgeton, NJ 08302-2503 | |
| (856) 459-2402 | |
| Not Available |
| Full Name | Stephanie Carmen Custodio |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 25 E Broad St, Bridgeton, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881385797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 26NP04816700 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Carmen Custodio, 1026 Falcon Way, Vineland, NJ 08360-4469 Ph: (609) 805-6509 | Stephanie Carmen Custodio, 25 E Broad St, Bridgeton, NJ 08302-2503 Ph: (856) 459-2402 |
Carol Shenton, ANP Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 70 Cohansey St, Bridgeton, NJ 08302 Phone: 856-451-4700 Fax: 856-451-0029 | |
Korea Corley, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Longview Dr, Bridgeton, NJ 08302 Phone: 800-950-6066 | |
Andrea Mccoy, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 14 Northville Rd, Bridgeton, NJ 08302 Phone: 800-950-6066 | |
Nicole Lane, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 86 Dare Ave, Bridgeton, NJ 08302 Phone: 800-950-6066 | |
Roldie Jones, APRN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 70 Cohansey St, Bridgeton, NJ 08302 Phone: 856-451-4700 Fax: 856-451-0029 | |
Sarita Garcia, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 25 E Broad St, Bridgeton, NJ 08302 Phone: 856-459-2402 | |
Ms. Dorothy M Rollar, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 85 Rosenhayn Ave, Bridgeton, NJ 08302 Phone: 856-455-2577 Fax: 856-455-2577 |