Individual
DR. STEPHEN L PELTON
Active
Individual
DR. STEPHEN L PELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
115901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000506488005
BLUE CROSS BLUE SHIELD
NY
01
—
0138
EXCELLUS INDEMNITY PLAN P
—
01
—
0140
EXCELLUS INDEMNITY PLAN P
—
05
—
01684606
—
NY
01
—
0308906
INDEPENDENT HEALTH PROD
—
01
—
040426004286
FEDLIS CARE
—
01
—
070009693
RAILROAD MEDICARE
—
01
—
102194AP
PREFERRED CARE PRODUCTS
NY
01
—
300340
WELL CARE
—
01
—
5681746
AETNA PRODUCTS
—
01
—
P010115901
EXCELLUS MANAGED CARE PRO
NY
Enumeration date
05/16/2006
Last updated
10/20/2022
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