Individual
DR. JONATHON SCOTT STILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 STATE ROUTE 23, WAYNE, NJ 07470-7510
(973) 633-1484
(973) 633-7980
Mailing address
1130 MCBRIDE AVE FL 3, WOODLAND PARK, NJ 07424-3806
(973) 812-1400
(973) 812-1404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA08217700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202037
—
NJ
Enumeration date
03/21/2007
Last updated
08/09/2023
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