Individual
BILL E. STEFANOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
111 CHURCH ROAD, MARLTON, NJ 08053-9410
(856) 983-8282
(856) 596-7462
Mailing address
111 CHURCH ROAD, MARLTON, NJ 08053-9410
(856) 983-8282
(856) 596-7462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00228700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101867000
AMERIHEALTH/KEYSTONE HMO
NJ
01
—
22-2828991
TID
NJ
01
—
43849
AETNA ID
NJ
01
—
610453800
US DEPT OF LABOR / OWCP
NJ
01
—
736820
UNITED HEALTHCARE
NJ
01
—
P413019
OXFORD HEALTHCARE
NJ
01
—
SB263088
GHI INS.
NJ
Enumeration date
07/03/2006
Last updated
02/04/2008
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