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Individual

JOHN L STEFANO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4745 OGLETOWN-STANTON ROAD, SUITE 217 MEDICAL ARTS PAVILION ONE, NEWARK, DE 19713
(302) 733-2374
(302) 733-2602
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(302) 733-2374
(302) 733-2602

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
51812
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
CI0002751
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000096501
DE
Enumeration date
05/23/2006
Last updated
05/30/2018
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