Individual
THERESA M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN APN C
Contact information
Practice address
3205 FIRE ROAD, SUITE 4, EGG HARBOR TOWNSHIP, NJ 08234-5857
(609) 407-1220
(609) 407-7149
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
26NN10505700
NJ
363L00000X
Nurse Practitioner
Primary
26NN10505700
NJ
Other
Enumeration date
06/19/2007
Last updated
11/28/2023
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