Jacqueline M Stanton, | |
19 Fairfield Rd, East Brunswick, NJ 08816-3647 | |
(732) 672-1654 | |
Not Available |
Full Name | Jacqueline M Stanton |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 19 Fairfield Rd, East Brunswick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164870051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR00734900 (New Jersey) | Primary |
Provider Name | Barnabas Health Medical Group, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447206420 PECOS PAC ID: 0648172809 Enrollment ID: O20040127000361 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline M Stanton, 19 Fairfield Rd, East Brunswick, NJ 08816-3647 Ph: (732) 672-1654 | Jacqueline M Stanton, 19 Fairfield Rd, East Brunswick, NJ 08816-3647 Ph: (732) 672-1654 |
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