Individual provider · Type 1 NPI

Gregory Stakenburg

Student in an Organized Health Care Education/Training Program · Clementon, NJ

NPI number 1831001916 Active

Practice location

223 Gibbsboro Rd
Clementon, NJ 08021-4135

Call (609) 889-8100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

15 other providers at this address

Other student in an organized health care education/training program providers in Clementon

See all in Clementon →

About NPI 1831001916

Gregory Stakenburg's National Provider Identifier is 1831001916, issued on Sep 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clementon, NJ. The record was last updated on Sep 22, 2026.