Individual
GREGORY G STIEFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
201 TOMLIN STATION RD, STE B, MULLICA HILL, NJ 08062-1612
(856) 241-2522
(856) 241-2511
Mailing address
2848 S DELSEA DR, SUITE 4B, VINELAND, NJ 08360-7042
(856) 205-7071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB06817700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080179129
RR MEDICARE
—
01
—
0859753000
AMERIHEALTH
—
01
—
223772973
TAX ID
NJ
01
—
2544170
AETNA/HMO
—
01
—
7527221
AETNA PIN
—
05
—
8247501
—
NJ
Enumeration date
10/03/2005
Last updated
04/03/2013
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