Individual
DR. STEPHEN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
90 BRICK RD, MARLTON, NJ 08053-2177
(856) 355-6000
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10559900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
OT015759
PA
Other
Enumeration date
06/17/2014
Last updated
02/11/2020
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