Gollance, Stephen Andrew

Gollance, Stephen Andrew is an individual health care provider with primary practice located at 968 Hamburg Tpke , Wayne NJ 07470-3225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gollance, Stephen Andrew can be contacted via phone (973) 696-0300.

Contact Information

Primary practice address
968 Hamburg Tpke Wayne NJ 07470-3225
Fax: (973) 696-0465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA07932300 New Jersey

Profile Details

NPI number 1215996517
LBN Legal business name Gollance, Stephen Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 2nd, 2010 - about 15 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 1215996517 NPPES
New Jersey MEDICAID 0077283

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