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Organization

STEPHEN G MAURER MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN G MAURER MD (PRESIDENT)
(201) 391-8282
Entity
Organization

Contact information

Practice address
305 W GRAND AVE, SUITE 500, MONTVALE, NJ 07645-1813
(201) 391-8282
(201) 391-8299
Mailing address
305 W GRAND AVE, SUITE 500, MONTVALE, NJ 07645-1813
(201) 391-8282
(201) 391-8299

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA08782300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790724334
INDIVIDUAL NPI
Enumeration date
06/05/2013
Last updated
08/02/2013
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