Search › New Jersey › 164W00000X
Stephanie Custodio
NPI 1881385797 · on the registry since 2023
Practice
- Address
- 25 E Broad St
Bridgeton, NJ 08302 - Phone
- (856) 459-2402
- Organisation at this address
- Walgreen Co.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 9 Landis Ave, Bridgeton, NJ
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey