SearchNew Jersey324500000X

Nicholas Stafford, CPRS

NPI 1700594488 · on the registry since 2022 · sole proprietor

Practice

Address
610 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone
(609) 321-6269
Fax
(609) 283-0262
Organisation at this address
Maryville, Inc
Maryville, Inc
Legacy Treatment Services
Legacy Treatment Services
Union Assocation Of The Children'S Home Of Burlington County, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
324500000X
324500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-11-10

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