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Individual

DR. STEFAN FENICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
410 N ROUTE 9, CAPE MAY COURT HOUSE, NJ 08210-1952
(856) 451-4700
(856) 451-8685
Mailing address
53 S LAUREL ST, SECOND FLOOR, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 451-8685

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA03415900
NJ
207Q00000X
Family Medicine Physician
25MA03415900
NJ

Other

Enumeration date
01/04/2011
Last updated
01/04/2011
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