Individual
SCOTT STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(302) 733-4540
Mailing address
PO BOX 8500-8567, PHILADELPHIA, PA 19178-8567
(609) 815-7810
(609) 815-7814
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00276900
NJ
363AS0400X
Surgical Physician Assistant
C50000225
DE
Other
Enumeration date
02/15/2006
Last updated
03/07/2013
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