Individual
JOHN WILLIAM STEFOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 CENTRE STREET, ASHLAND, PA 17921
(570) 875-0700
(570) 875-1279
Mailing address
530 CENTRE STREET, ASHLAND, PA 17921
(570) 875-0700
(570) 875-1279
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD-034546-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014134440008
—
PA
01
—
010001700
BLACK LUNG
PA
01
—
0171850
HIGHMARK BLUE SHIELD
PA
01
—
03267500
CAPITAL BLUE CROSS
PA
01
—
03267500
KEYSTONE SENIOR BLUE
—
01
—
080122224
RAILROAD MEDICARE
PA
Enumeration date
11/21/2006
Last updated
10/12/2011
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