Provider Demographics
NPI:1336719855
Name:GARLEY, STEPHANIE ISABEL (PA-C)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ISABEL
Last Name:GARLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WINDING BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4535
Mailing Address - Country:US
Mailing Address - Phone:732-403-4418
Mailing Address - Fax:
Practice Address - Street 1:30 WINDING BROOK WAY
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4535
Practice Address - Country:US
Practice Address - Phone:732-403-4418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant