SearchNew Jersey174M00000X

Norman Stack, VMD

NPI 1164745428 · on the registry since 2010 · sole proprietor

Practice

Address
2172 Millburn Ave
Maplewood, NJ 07040
Phone
(973) 763-3445
Fax
(973) 763-2819

Registry record

Primary taxonomy
174M00000X
174M00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey