Basic Information
| Provider Information | |||||||||
| NPI: | 1851826143 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADAMO | ||||||||
| FirstName: | STEPHANIE | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 RUBY CT | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 085271392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7329960376 | ||||||||
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| Practice Location | |||||||||
| Address1: | 686 ROUTE 70 | ||||||||
| Address2: | |||||||||
| City: | BRICK | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 087234026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322628200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2017 | ||||||||
| LastUpdateDate: | 04/25/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ00728200 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.