Individual
DR. KIRK SAMUEL STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9 LANDIS AVE, BRIDGETON, NJ 08302-4315
(856) 451-4169
(856) 451-6785
Mailing address
9 LANDIS AVE, BRIDGETON, NJ 08302-4315
(856) 451-4169
(856) 451-6785
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02895200
NJ
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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