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Individual

MR. STEN I KJELLBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
224 ROSEBERRY STREET, SUITE 8, PHILLIPSBURG, NJ 08865-1687
(908) 859-5222
(908) 859-3261
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA06791900
NJ
208600000X
Surgery Physician
Primary
MD051108L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7143109
NJ
Enumeration date
07/06/2006
Last updated
02/17/2022
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