# STEVEN B CANCELL D P M P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518004936
- **Authorized official:** DR. STEVEN B CANCELL D.P.M. (PRESIDENT)
- **Authorized official phone:** (856) 456-8862

## Contact information

- **Practice address:** 456 S BROADWAY, GLOUCESTER CITY, NJ 08030-2343
- **Practice address phone:** (856) 456-8862
- **Practice address fax:** (856) 456-6272
- **Mailing address:** 456 S BROADWAY, GLOUCESTER CITY, NJ 08030-2343
- **Mailing address phone:** (856) 456-8862
- **Mailing address fax:** (856) 456-6272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00213300 | NJ | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 10/02/2008