Individual
STEVAN SELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00749800
NJ
Other
Enumeration date
10/31/2022
Last updated
01/21/2023
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