Doctor Name: | STEPHANIE C MCCARTHY |
NPI Number: | 1043650955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., A.P.N. |
License Number: | 26NJ00414200 |
Business Practice Address: | 1 Clara Maass Dr Belleville, NJ - 071093550 |
Business Phone Number: | 9734502000 |
Business Fax Number: | 9734502644 |
Mailing Address: | 1 Clara Maass Dr, BELLEVILLE |
State: | NJ |
Postal Code: | 071093550 |
Phone Number: | 9734502000 |
Fax Number: | 9734502644 |
NPI Enumeration Date: | 06/25/2013 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00414200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |