# NJ PREVENTIVE HEALTH EDGE MEDICAL PC

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

## Provider details

- **NPI number:** 1578353835
- **Authorized official:** BENJAMIN STEIN MD (PRESIDENT)
- **Authorized official phone:** (917) 310-5621

## Contact information

- **Practice address:** 525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
- **Practice address phone:** (917) 310-5621
- **Mailing address:** 525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/09/2025
- **Last updated:** 05/13/2025