MEDICARE: MR. STANLEY SZUMSKI PA-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
1	363AM0700X	Medical Physician Assistant	25MP00209100	NJ

General Provider Information

NPI Number	:	1215177654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STANLEY SZUMSKI PA-C

Provider Business Mailing Address
First Line	:	307 GLASSBORO RD
Second Line	:
City	:	WOODBURY HEIGHTS
State	:	NJ
Zip	:	08097-1018
Country	:	US
Telephone Number	:	856-853-0848
Fax Number	:	856-853-1889

Provider Business Practice Location Address
First Line	:	307 GLASSBORO RD
Second Line	:
City	:	WOODBURY HEIGHTS
State	:	NJ
Zip	:	08097-1018
Country	:	US
Telephone Number	:	856-853-0848
Fax Number	:	856-853-1889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	02/25/2009

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