Stavrellis, Steve John

Stavrellis, Steve John is an individual health care provider with primary practice located at 21 S Hope Chapel Rd Ste 131 , Jackson NJ 08527-5000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stavrellis, Steve John can be contacted via phone (732) 363-1424.

Contact Information

Primary practice address
21 S Hope Chapel Rd Ste 131 Jackson NJ 08527-5000
Fax: (732) 370-0714
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA02835000 New Jersey

Profile Details

NPI number 1669573861
LBN Legal business name Stavrellis, Steve John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 4th, 2019 - about 6 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 1669573861 NPPES
New Jersey MEDICAID 1299301

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