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Contact Information

STACY M FORD, PA-C
175 CROSS KEYS RD
BERLIN, NJ08009-9263
 Phone: 856-767-0077
 Fax: 856-767-0100
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACY M FORD · (Female)

NPI # 1003026014
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/22/2007
Last updated 05/16/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00179700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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