Land, Stephen M
Land, Stephen M is an individual health care provider with primary practice located at 401 Young Ave Ste 260A , Moorestown NJ 08057-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Land, Stephen M can be contacted via phone (856) 291-8756.Contact Information
Primary practice address
401 Young Ave Ste 260A
Moorestown NJ 08057-3130
Phone: (856) 291-8756
Fax: (856) 291-8750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA05031600 | New Jersey |
Profile Details
| NPI number | 1558337634 |
|---|---|
| LBN Legal business name | Land, Stephen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Oct 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558337634 | NPPES |
| New Jersey | MEDICAID | 2435608 |
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