Thomas J. Stack in Montville - Family Medicine
Thomas J. Stack - NPI 1891808572
Thomas J. Stack is a Family Medicine in Montville, New Jersey. Thomas J. Stack practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas J. Stack is 1891808572. The last update date is 2007-07-08.
Thomas J. Stack's current location address is 170 Changebridge Rd, Montville, New Jersey. You can contact this provider via phone number 9738083200 and fax number 9738083202. The mailing address for Thomas J. Stack is 170 Changebridge Rd, Montville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas J. Stack |
|---|---|
| Address | 170 Changebridge Rd, Montville, New Jersey |
| Phone Number | 9738083200 |
| Fax Number | 9738083202 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1891808572 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 170 Changebridge Rd |
|---|---|
| City | Montville |
| State | New Jersey (NJ) |
| Post Code | 70459115 |
| Phone Number | 9738083200 |
| Fax Number | 9738083202 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MBO58292 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Thomas J. Stack by the Centers for Medicare & Medicaid Services?
The Thomas J. Stack has been issued the NPI (National Provider Identifier) 1891808572, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas J. Stack is geographically located?
The Thomas J. Stack is physically situated at the following location: 170 Changebridge Rd, Montville, NJ, 70459115.
What is the Thomas J. Stack's area of specialization and corresponding taxonomy classification?
The Thomas J. Stack's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Thomas J. Stack receive the assignment of its 1891808572 from the Centers for Medicare & Medicaid Services?
The Thomas J. Stack was issued its 1891808572 by the Centers for Medicare & Medicaid Services on 2006-08-16.
When was the Thomas J. Stack's information last updated?
The Thomas J. Stack's information was last updated on 2007-07-08.
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