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NPI Code Detail

MEDICARE: CATHERINE STANZIONE A.P.N.,C

MEDICARE:   CATHERINE  STANZIONE  A.P.N.,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
1163W00000XRegistered Nurse26NO03891300NJ
2163WC1400XCollege Health Registered Nurse26NO03891300NJ
3363LF0000XFamily Nurse Practitioner26NJ00175300NJ

General Provider Information

NPI Number : 1588814743
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE STANZIONE A.P.N.,C
Provider Business Mailing Address
First Line : 120 PASSAIC AVE
Second Line :
City : SPRING LAKE
State : NJ
Zip : 07762-1308
Country : US
Telephone Number : 732-282-1816
Fax Number : 732-282-9112
Provider Business Practice Location Address
First Line : 120 PASSAIC AVE
Second Line :
City : SPRING LAKE
State : NJ
Zip : 07762-1308
Country : US
Telephone Number : 732-282-1816
Fax Number : 732-282-9112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 03/03/2009

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Directions to “ CATHERINE STANZIONE A.P.N.,C” Practice Location

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