Individual
IRA M STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 ATLANTIC AVE, LEONARD ERBER MEDICAL CENTER, ATLANTIC CITY, NJ 08401
(609) 345-8409
Mailing address
661 MACEDONIA DR, PUNTA GORDA, FL 33950-8012
(609) 402-6989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06188900
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA061889
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25MA06188900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6642501
—
NJ
Enumeration date
09/25/2006
Last updated
04/11/2018
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