Individual
STEPHEN J KOLESK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1636 ROUTE 38 & EAYRESTOWN ROAD, LUMBERTON, NJ 08048-0000
(609) 914-8440
(609) 914-8441
Mailing address
7000 ATRIUM WAY, SUITE 6, MOUNT LAUREL, NJ 08054-3917
(856) 840-4500
(856) 234-4241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA03638700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213705
—
NJ
Enumeration date
02/28/2006
Last updated
05/01/2013
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