Individual
STEPHAN JOSEPH DORKHOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
234 HAMBURG TPKE STE 202, WAYNE, NJ 07470-2149
(973) 310-0309
Mailing address
234 HAMBURG TPKE STE 202, WAYNE, NJ 07470-2149
(973) 310-0309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB09656200
NJ
207RH0003X
Hematology & Oncology Physician
Primary
25MB09656200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546747
—
NJ
01
—
60168529
HORIZON NJ HEALTH
NJ
05
—
75902036
—
NM
Enumeration date
10/05/2010
Last updated
11/20/2020
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