Individual
RANDALL M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 5200A, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7217
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25MA04968000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489107
—
NJ
Enumeration date
11/21/2006
Last updated
01/25/2012
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