Individual
STEVEN T. DEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH. D
Contact information
Practice address
37 CLYDE RD, SUITE 102, SOMERSET, NJ 08873-5034
(732) 873-0200
(732) 873-0255
Mailing address
37 CLYDE RD, SUITE 102, SOMERSET, NJ 08873-5034
(732) 873-0200
(732) 873-0255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA03577100
NJ
282N00000X
General Acute Care Hospital
MA03577100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3267601
—
NJ
Enumeration date
07/28/2006
Last updated
06/28/2010
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