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Individual

STEPHEN B GLORIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5678 BERKSHIRE VALLEY RD, OAK RIDGE, NJ 07438-9370
(973) 697-0200
(973) 697-6844
Mailing address
404 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB04263000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1920502
NJ
Enumeration date
03/16/2006
Last updated
12/10/2021
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