Whalio Doctors

NPI 1295721447

Charles M. Stivala, DO

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Pomona, NJ

Practice location

Address
65 W Jimmie Leeds Rd, Pomona, NJ 08240-9102
Phone
(609) 748-7089
Fax
(609) 652-3460
Mailing address
3600 Route 66 Fl 3, Neptune, NJ 07753-2645

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 25MB10453400 (NJ)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence OS012844 (PA)

Registry record

NPI
1295721447
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Sep 2005
Record last updated
19 Dec 2023

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.