Stevens, Randall M

Stevens, Randall M is an individual health care provider with primary practice located at 125 Paterson St Clinical Academic Building - Suite 5200A, New Brunswick NJ 08901-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Stevens, Randall M can be contacted via phone (732) 235-7217.

Contact Information

Primary practice address
125 Paterson St Clinical Academic Building - Suite 5200A New Brunswick NJ 08901-1962
Phone: (732) 235-7217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 25MA04968000 New Jersey

Profile Details

NPI number 1063587749
LBN Legal business name Stevens, Randall M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jan 25th, 2012 - about 13 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 1063587749 NPPES
New Jersey MEDICAID 0489107

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