Individual
MARK WILLIAM STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
102 E BAY AVE, SUITE G, MANAHAWKIN, NJ 08050-3175
(609) 978-2950
Mailing address
609 SPAULDING AVE, FORKED RIVER, NJ 08731-5841
(609) 242-0401
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00225100
NJ
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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