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Individual

DR. STEPHEN ANTHONY IACONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
185 S ORANGE AVE, MEDICAL SCIENCE BUILDING, ROOM G 532, NEWARK, NJ 07103-2757
(973) 972-5682
(973) 972-7425
Mailing address
185 S ORANGE AVE, MEDICAL SCIENCE BUILDING, ROOM G 532, NEWARK, NJ 07103-2757
(973) 972-5682
(973) 972-7425

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0102960
MD
2086S0102X
Surgical Critical Care Physician
Primary
D0102960
MD

Other

Enumeration date
04/12/2017
Last updated
09/23/2025
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