| Stephen E Paul Do Pa | |
|
111 E Main St Maple Shade NJ 08052-2679 | |
| (856) 779-9220 | |
| (856) 779-7890 |
| Full Name | Stephen E Paul Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 111 E Main St, Maple Shade, New Jersey |
| Authorized Official Name and Position | Stephen E. Paul (PRESIDENT) |
| Authorized Official Contact | 8567799220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen E Paul Do Pa 111 E Main St Maple Shade NJ 08052-2679 Ph: (856) 779-9220 | Stephen E Paul Do Pa 111 E Main St Maple Shade NJ 08052-2679 Ph: (856) 779-9220 |
| NPI Number | 1841450616 |
|---|---|
| Provider Enumeration Date | 06/14/2008 |
| Last Update Date | 08/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841450616 | NPI | - | NPPES |
| 080169223 | Other | NJ | RAILROAD MEDICARE |
| 2433109 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB02548900 (New Jersey) | Primary |