Provider Demographics
NPI:1699729012
Name:STANLEY I REKANT MD PA
Entity type:Organization
Organization Name:STANLEY I REKANT MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:IRWIN
Authorized Official - Last Name:REKANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-567-0030
Mailing Address - Street 1:777 S WHITE HORSE PIKE
Mailing Address - Street 2:A-2
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2029
Mailing Address - Country:US
Mailing Address - Phone:609-567-0030
Mailing Address - Fax:609-567-0716
Practice Address - Street 1:777 S WHITE HORSE PIKE
Practice Address - Street 2:A-2
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2029
Practice Address - Country:US
Practice Address - Phone:609-567-0030
Practice Address - Fax:609-567-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0027995207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty