Doctor Name: | DR. STANLEY J HARTANOWICZ |
NPI Number: | 1851421325 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA03331200 |
Business Practice Address: | 10 Kettle Creek Rd Suite A Toms River, NJ - 087531736 |
Business Phone Number: | 7322558880 |
Business Fax Number: | 7322558885 |
Mailing Address: | 10 Kettle Creek Rd, Suite A TOMS RIVER |
State: | NJ |
Postal Code: | 087531736 |
Phone Number: | 7322558880 |
Fax Number: | 7322558885 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25MA03331200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |