NPI 1003026014

Stacy Maria Ford, PAC

Practitioner Physician Assistant Berlin, NJ

Practice location

Address: 175 Cross Keys Rd, Berlin, NJ 08009-9263
Phone: (856) 767-0077
Fax: (856) 767-0100
Mailing address: 401 N Kirkwood Ave, Stratford, NJ 08084-1163

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00179700 (NJ)

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Registry record

NPI: 1003026014
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2007
Record last updated: 16 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.