Individual
DR. STEPHEN PERCY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK, NJ 07601-1914
(201) 996-5201
(201) 996-0754
Mailing address
30 PROSPECT AVE, HACKENSACK UNIVERSITY MEDICAL CENTER, HACKENSACK, NJ 07601-1914
(201) 996-5201
(201) 996-0754
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA05674700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7718403
—
NJ
Enumeration date
11/17/2006
Last updated
07/08/2007
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