Organization
MANAHAWKIN PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WILLIAM STEPHENS DPM (PODIATRIST)
(609) 978-2950
Entity
Organization
Contact information
Practice address
102 E BAY AVE, SUITE H, MANAHAWKIN, NJ 08050-3175
(609) 978-2950
(609) 978-2961
Mailing address
102 E BAY AVE, SUITE H, MANAHAWKIN, NJ 08050-3175
(609) 978-2950
(609) 978-2961
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00225100
NJ
Other
Enumeration date
08/29/2008
Last updated
08/02/2011
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