Provider Demographics
NPI:1578579587
Name:HECHT, STACEY MARKOWITZ (MD)
Entity Type:Individual
Prefix:DR
First Name:STACEY
Middle Name:MARKOWITZ
Last Name:HECHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STACEY
Other - Middle Name:
Other - Last Name:MARKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:171 FRANKLIN TPKE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1849
Mailing Address - Country:US
Mailing Address - Phone:201-612-5100
Mailing Address - Fax:201-612-4499
Practice Address - Street 1:171 FRANKLIN TPKE
Practice Address - Street 2:SUITE 110
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1849
Practice Address - Country:US
Practice Address - Phone:201-612-5100
Practice Address - Fax:201-612-4499
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55840208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics