Doctor Name: | WENDY K STINSON |
NPI Number: | 1053355503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 25MD00273900 |
Business Practice Address: | 218 Ridgedale Ave Suite 101 Cedar Knolls, NJ - 079272109 |
Business Phone Number: | 9732851700 |
Business Fax Number: | 9732851711 |
Mailing Address: | 88 Moore Place, Lower Level BELLEVILLE |
State: | NJ |
Postal Code: | 071091968 |
Phone Number: | 9737518637 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 11/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00273900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |