Stefanko, Jerome

Stefanko, Jerome is an individual health care provider with primary practice located at 1150 Veterans Blvd , Redwood City CA 94063-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Stefanko, Jerome can be contacted via phone (650) 299-2000.

Contact Information

Primary practice address
1150 Veterans Blvd Redwood City CA 94063-2037
Phone: (650) 299-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G41534 California

Profile Details

NPI number 1861570459
LBN Legal business name Stefanko, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 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 1861570459 NPPES
California MEDICAID 00G415340

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