Organization
STEFANOU CHIROPRACTIC CENTER, LLC
Active
Other names
Dr Bill Stefanou
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SUE STEFANOU CA (OFFICE MANAGER)
(856) 983-8282
Entity
Organization
Contact information
Practice address
111 CHURCH RD, MARLTON, NJ 08053-9410
(856) 983-8282
(856) 596-7462
Mailing address
111 CHURCH RD, MARLTON, NJ 08053-9410
(856) 983-8282
(856) 596-7462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00228700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
444840
MEDICARE PTAN
NJ
Enumeration date
07/06/2012
Last updated
07/06/2012
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