Provider Demographics
NPI:1265665798
Name:STABILE, MICHAEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:STABILE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1401 WHITEHORSE MERCERVILLE RD STE 218
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3835
Mailing Address - Country:US
Mailing Address - Phone:609-689-5760
Mailing Address - Fax:609-689-5759
Practice Address - Street 1:1401 WHITEHORSE MERCERVILLE RD STE 218
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-689-5760
Practice Address - Fax:609-689-5759
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK31462207Q00000X
OH35.132355207Q00000X
NY290991207Q00000X
NJ25MA08962200207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine