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Individual

STEPHANIE GWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
999 ROUTE 73 N STE 401, MARLTON, NJ 08053-1227
(800) 321-9999
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(800) 321-9999

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068562
IL
208100000X
Physical Medicine & Rehabilitation Physician
25MA11182300
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MT214303
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA11182300
NJ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD474918
PA

Other

Enumeration date
03/23/2016
Last updated
03/19/2026
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