MEDICARE: GENTLE STICKSQ MOBILE PHLEBOTOMY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1912861758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE STICKSQ MOBILE PHLEBOTOMY SERVICES, LLC

Provider Business Mailing Address
First Line	:	5 DICKERSON RD
Second Line	:
City	:	MOUNT TABOR
State	:	NJ
Zip	:	07878-9245
Country	:	US
Telephone Number	:	609-312-9281
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 DICKERSON RD
Second Line	:
City	:	MOUNT TABOR
State	:	NJ
Zip	:	07878-9245
Country	:	US
Telephone Number	:	609-312-9281
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THOMAS SUCKIEL
Credential	:
Telephone Number	:	609-312-9281

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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