Individual
STEPHEN AMAEFUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 FAAS CT, WEST ORANGE, NJ 07052-2652
(973) 715-2688
(973) 324-9725
Mailing address
4 FAAS CT, WEST ORANGE, NJ 07052-2652
(973) 715-2688
(973) 324-9725
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
063115
NJ
208000000X
Pediatrics Physician
MA63115
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA06311500
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MA63115
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7177402
—
NJ
Enumeration date
07/31/2006
Last updated
01/02/2025
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