Stanley John, PHYSICIANASSISTANT
Stanley John, PHYSICIANASSISTANT is a Physician Assistant in Bergenfield, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.
- Licensed in
- NJ, NY
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
324 W Clinton AveBergenfield, NJ 07621-1903
Phone: (917) 287-4154
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 015558 (NY) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 25MP00395900 (NJ) |
Record details
| NPI number | 1942567524 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2012 |
| Last updated in NPPES | November 27, 2016 |
| Mailing address | 324 W Clinton Ave, Bergenfield, NJ 07621-1903 |
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