Provider Demographics
NPI:1447420088
Name:STOCKMAL, CHRISTINE LYNN (DVM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LYNN
Last Name:STOCKMAL
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:LYNN
Other - Last Name:STOCKMAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DVM
Mailing Address - Street 1:1202 SUSSEX TPKE
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2939
Mailing Address - Country:US
Mailing Address - Phone:973-895-4999
Mailing Address - Fax:973-895-4948
Practice Address - Street 1:1202 SUSSEX TPKE
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-2939
Practice Address - Country:US
Practice Address - Phone:973-895-4999
Practice Address - Fax:973-895-4948
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100288300174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian