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Organization

MARK E. STEPHEN MD P.C.

Active
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Organization

MARK E. STEPHEN MD P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK STEPHEN (DIRECTOR)
(631) 656-9517
Entity
Organization

Contact information

Practice address
2 MARTINGALE GATE, SAINT JAMES, NY 11780-3546
(631) 656-9517
Mailing address
2 MARTINGALE GATE, SAINT JAMES, NY 11780-3546
(631) 656-9517

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
213491
NY

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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