Stagnaro-Green, Alex Stewart

Stagnaro-Green, Alex Stewart is an individual health care provider with primary practice located at 30 Bergen St Admc 12 1205, Newark NJ 07107-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Stagnaro-Green, Alex Stewart can be contacted via phone (973) 972-0037.

Contact Information

Primary practice address
30 Bergen St Admc 12 1205 Newark NJ 07107-3000
Phone: (973) 972-0037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA04622800 New Jersey

Profile Details

NPI number 1124052048
LBN Legal business name Stagnaro-Green, Alex Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124052048 NPPES
New Jersey MEDICAID 8898502

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