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Individual
GREGORY G STIEFEL
Active
Individual
GREGORY G STIEFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB06817700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080179129
RR MEDICARE
—
01
—
0859753000
AMERIHEALTH
—
01
—
223772973
TAX ID
NJ
01
—
2544170
AETNA/HMO
—
01
—
7527221
AETNA PIN
—
05
—
8247501
—
NJ
Enumeration date
10/03/2005
Last updated
04/03/2013
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