Organization · Type 2 NPI

Stafford Medical PA

Non-Pharmacy Dispensing Site · Manahawkin, NJ

NPI number 1093052102 Active

Practice location

1364 Route 72 W, 2
Manahawkin, NJ 08050-2485

Mailing address

5626 Oberlin Dr, 110
San Diego, CA 92121-1705

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X25MA066536 (NJ)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

11 other providers at this address

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About NPI 1093052102

Stafford Medical PA's National Provider Identifier is 1093052102, issued on Jan 9, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Manahawkin, NJ. The record was last updated on Jan 9, 2013.