Ford, Stacy Maria

Ford, Stacy Maria is an individual health care provider with primary practice located at 175 Cross Keys Rd , Berlin NJ 08009-9263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ford, Stacy Maria can be contacted via phone (856) 767-0077.

Contact Information

Primary practice address
175 Cross Keys Rd Berlin NJ 08009-9263
Fax: (856) 767-0100
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00179700 New Jersey

Profile Details

NPI number 1003026014
LBN Legal business name Ford, Stacy Maria
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated May 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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