Niedzwiecki, Stephen

Niedzwiecki, Stephen is an sole proprietor health care provider with primary practice located at 2006 Salem Rd , Burlington NJ 08016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Niedzwiecki, Stephen can be contacted via phone (609) 877-1500.

Contact Information

Primary practice address
2006 Salem Rd Burlington NJ 08016
Phone: (609) 877-1500
Fax: (609) 877-4262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA-67758 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-062448-L Pennsylvania

Profile Details

NPI number 1316961485
LBN Legal business name Niedzwiecki, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316961485 NPPES
New Jersey MEDICAID 7748507

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