Individual
STEPHEN RIOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
140 W TOMLIN STATION RD, MICKLETON, NJ 08056-1319
(856) 845-9600
Mailing address
140 W TOMLIN STATION RD, MICKLETON, NJ 08056-1319
(856) 845-9600
(856) 845-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB51600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0421972000
AMERIHEALTH
NJ
01
—
1077176
KEY/MER
NJ
05
—
1710206
—
NJ
Enumeration date
07/19/2006
Last updated
09/02/2010
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