Individual
DR. STEPHEN TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 LIPPINCOTT DR STE F, MARLTON, NJ 08053-4168
(856) 435-9100
(856) 435-9112
Mailing address
826 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4459
(610) 415-1100
(610) 415-1101
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA09772700
NJ
207Y00000X
Otolaryngology Physician
MD439559
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220491YEXC
MEDICARE PTAN
PA
Enumeration date
06/22/2007
Last updated
04/27/2018
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