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NPI Code Detail

MEDICARE: ROBERT DENIS STAGON D.C.

MEDICARE: ROBERT DENIS STAGON D.C.
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
1111N00000XChiropractor869CT
2111N00000XChiropractor38MC00366800NJ

General Provider Information

NPI Number : 1952636359
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DENIS STAGON D.C.
Provider Business Mailing Address
First Line : 50 VREELAND DR
Second Line : SUITE 506
City : SKILLMAN
State : NJ
Zip : 08558-2639
Country : US
Telephone Number : 609-683-0985
Fax Number :
Provider Business Practice Location Address
First Line : 50 VREELAND DR
Second Line : SUITE 506
City : SKILLMAN
State : NJ
Zip : 08558-2639
Country : US
Telephone Number : 609-683-0985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2009
Last Update Date : 10/03/2009

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