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Individual

DR. MICHAEL VLADIMIR STEFANOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
214 ENGLE ST STE 20, ENGLEWOOD, NJ 07631-2418
(201) 266-5146
(201) 266-5267
Mailing address
214 ENGLE ST STE 20, ENGLEWOOD, NJ 07631-2418
(201) 266-5146
(201) 266-5267

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
202687
NY
2084P0800X
Psychiatry Physician
Primary
MA 64760
NJ

Other

Enumeration date
08/03/2006
Last updated
09/19/2007
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