Individual
DR. STEPHEN DAMIEN SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
187 WARREN ST, #203, JERSEY CITY, NJ 07302-6475
(718) 938-5245
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PENDING
NJ
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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