Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 25MA06300600 | NJ |
NPI | 1427014182 |
---|---|
Provider Name | Sarah Stuart Schaefer |
First Address | Livingston, NJ 07039-5817 |
Second Address | Livingston, NJ 07039-5817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 16/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F91873 | (02) |