Individual
STEPHEN EDWARD SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
413 LAKEHURST RD STE 301, TOMS RIVER, NJ 08755
(732) 255-7155
(732) 255-7455
Mailing address
413 LAKEHURST RD STE 301, TOMS RIVER, NJ 08755-7388
(732) 255-7155
(732) 255-7455
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MB07162600
NJ
208200000X
Plastic Surgery Physician
34008382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204999183
HORIZON
—
01
—
2806037000
AMERIHEALTH
NJ
01
—
3K4764
HEALTHNET
NJ
01
—
7843763
AETNA
NJ
01
—
8318425
CIGNA
NJ
01
—
9453528
PHCS
NJ
Enumeration date
10/18/2005
Last updated
04/02/2025
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