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Individual

STEPHEN R NOONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3573
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3573
(856) 795-1003
(856) 795-5994

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00265900
NJ
213E00000X
Podiatrist
SC004617L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000755800
AMERICHOICE OF NJ
NJ
05
01868201
PA
01
0283477
CIGNA
NJ
01
1459159
INDEPENDENCE BLUE CROSS
PA
01
214416500
KEYSTONE HEALTH PLAN
PA
01
60984
AMERIGROUP
NJ
05
8691207
NJ
01
9209717
PHCS
01
P00152413
RAILROAD MEDICARE
01
P2532063
OXFORD INSURANCE
Enumeration date
07/20/2006
Last updated
01/06/2015
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