Provider Demographics
NPI:1821166299
Name:STACEY MARKOWITZ HECHT, MD, PA
Entity Type:Organization
Organization Name:STACEY MARKOWITZ HECHT, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:MARKOWITZ
Authorized Official - Last Name:HECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-612-5100
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55840208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty