# STEFANOU CHIROPRACTIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Bill Stefanou
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043575046
- **Authorized official:** MRS. STEPHANIE SUE STEFANOU CA (OFFICE MANAGER)
- **Authorized official phone:** (856) 983-8282

## Contact information

- **Practice address:** 111 CHURCH RD, MARLTON, NJ 08053-9410
- **Practice address phone:** (856) 983-8282
- **Practice address fax:** (856) 596-7462
- **Mailing address:** 111 CHURCH RD, MARLTON, NJ 08053-9410
- **Mailing address phone:** (856) 983-8282
- **Mailing address fax:** (856) 596-7462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00228700 | NJ | Yes |

## Other

- **Enumeration date:** 07/06/2012
- **Last updated:** 07/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 444840 | MEDICARE PTAN | NJ |