Stella, Stefano M

Stella, Stefano M is an sole proprietor health care provider with primary practice located at 71 Union Ave Suite 101, Rutherford NJ 07070-1272. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stella, Stefano M can be contacted via phone (201) 933-4775.

Contact Information

Primary practice address
71 Union Ave Suite 101 Rutherford NJ 07070-1272
Phone: (201) 933-4775
Fax: (201) 935-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA04443100 New Jersey

Profile Details

NPI number 1033114475
LBN Legal business name Stella, Stefano M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Mar 1st, 2011 - about 14 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 1033114475 NPPES
New Jersey MEDICAID 1961101
New Jersey Other 835C01
New Jersey Other 11761
New Jersey Other 1238279
New Jersey Other BE000007401
New Jersey Other 305465
New Jersey Other 4244772
New Jersey Other 1012274
New Jersey Other 3K3088
New Jersey Other P798856
New Jersey Other 0105342000
New Jersey Other 0296293

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