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Stacy Bodine
NPI 1639534399 · on the registry since 2015
Practice
- Address
- 3401 Princeton Pike
Lawrenceville, NJ 08648 - Phone
- (609) 203-1642
- Clinicians at this address
- 10
Additional practice sites
- 111 Lake Hollingsworth Dr, Lakeland, FL
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- FL, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-17
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