Individual
JAY A. STIEFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
509 N BROAD ST, WOODBURY, NJ 08096-1617
(856) 853-2001
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB50299
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0404825000
AMERIHEALTH
NJ
01
—
1097480
KEY/MER
NJ
01
—
222137644
CHAMPUS/TRICARE
NJ
05
—
2255804
—
NJ
01
—
90000011100
AMERICHOICE
NJ
Enumeration date
07/15/2006
Last updated
06/09/2023
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