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Organization
STEFANOU CHIROPRACTIC CENTER, LLC
Active
Organization
STEFANOU CHIROPRACTIC CENTER, LLC
Active
Other names
Dr Bill Stefanou
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SUE STEFANOU CA (OFFICE MANAGER)
(856) 983-8282
Entity
Organization
Contact information
Practice address
111 CHURCH RD, MARLTON, NJ 08053-9410
(856) 983-8282
(856) 596-7462
Mailing address
111 CHURCH RD, MARLTON, NJ 08053-9410
(856) 983-8282
(856) 596-7462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00228700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444840
MEDICARE PTAN
NJ
Enumeration date
07/06/2012
Last updated
07/06/2012
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