Dorkhom, Stephan Joseph

Dorkhom, Stephan Joseph is an individual health care provider with primary practice located at 234 Hamburg Tpke Ste 202 , Wayne NJ 07470-2149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Dorkhom, Stephan Joseph can be contacted via phone (973) 310-0309.

Contact Information

Primary practice address
234 Hamburg Tpke Ste 202 Wayne NJ 07470-2149
Phone: (973) 310-0309
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MB09656200 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB09656200 New Jersey

Profile Details

NPI number 1578872776
LBN Legal business name Dorkhom, Stephan Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2010
Last updated Nov 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578872776 NPPES
New Jersey Other 60168529 HORIZON NJ HEALTH
New Jersey MEDICAID 75902036 HORIZON NJ HEALTH
New Jersey MEDICAID 0546747 HORIZON NJ HEALTH

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