CHARLES STIVALA, DO
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Active
Individual
NPI: 1295721447
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | No | OS012844 (PA) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | Yes | 25MB10453400 (NJ) |
Frequently Asked Questions
NPI 1295721447 is the National Provider Identifier for CHARLES STIVALA, DO, a Thoracic Surgery (Cardiothoracic Vascular Surgery) provider located in Pomona, NJ. This NPI was enumerated on September 23, 2005.
CHARLES STIVALA, DO practices at 65 W JIMMIE LEEDS RD, Pomona, NJ 08240.
Quick Facts
- NPI
- 1295721447
- Type
- Individual
- Enumerated
- Sep 23, 2005
- Last Updated
- Dec 19, 2023
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