Provider Demographics
NPI:1871389544
Name:STURM, MICHAEL THOMAS (NP)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THOMAS
Last Name:STURM
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 AVALON WAY UNIT 3158
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-2352
Mailing Address - Country:US
Mailing Address - Phone:973-271-1827
Mailing Address - Fax:973-271-1827
Practice Address - Street 1:1 AVALON WAY UNIT 3158
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-2352
Practice Address - Country:US
Practice Address - Phone:973-271-1827
Practice Address - Fax:973-271-1827
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15334600363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care