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Individual
JOHN WILLIAM STEFOVIC
Active
Individual
JOHN WILLIAM STEFOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD-034546-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014134440008
—
PA
01
—
010001700
BLACK LUNG
PA
01
—
0171850
HIGHMARK BLUE SHIELD
PA
01
—
03267500
CAPITAL BLUE CROSS
PA
01
—
03267500
KEYSTONE SENIOR BLUE
—
01
—
080122224
RAILROAD MEDICARE
PA
Enumeration date
11/21/2006
Last updated
10/12/2011
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