Organization Name: | 1272 STIRLING MEDICAL GROUP, LLC |
NPI Number: | 1578863031 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN BARLOW (BILLING COMPANY) |
Mailing Address: | 1272 Long Hill Rd Stirling |
State: | NJ US |
Postal Code: | 079801010 |
Phone Number: | 5617482889 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 10/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 26NN11834600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |