Individual
STEPHAN MICHAEL JUERGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3959 BROADWAY # CHN2-253, NEW YORK, NY 10032-1559
(212) 305-8509
Mailing address
3959 BROADWAY # CHN2-253, NEW YORK, NY 10032-1559
(212) 305-8509
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
318584
NY
Other
Enumeration date
04/01/2015
Last updated
07/29/2022
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