CHARLES M. STIVALA DO
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1295721447- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 65 W JIMMIE LEEDS RD, POMONA, NJ, 082409102
- Phone
- (609) 748-7089
- Fax
- (609) 652-3460
Specialties & Taxonomies
Surgery
License: PA #OS012844
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: NJ #25MB10453400