MEDICARE: DR. STEVEN BRIAN EPSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	25MA08355700	NJ

General Provider Information

NPI Number	:	1356349641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN BRIAN EPSTEIN MD

Provider Business Mailing Address
First Line	:	7000 BOULEVARD EAST
Second Line	:	GALAXY MALL SUITE M13
City	:	GUTTENBERG
State	:	NJ
Zip	:	07093-4818
Country	:	US
Telephone Number	:	201-861-9900
Fax Number	:	201-861-9977

Provider Business Practice Location Address
First Line	:	7000 BOULEVARD EAST
Second Line	:	GALAXY MALL SUITE M13
City	:	GUTTENBERG
State	:	NJ
Zip	:	07093-4818
Country	:	US
Telephone Number	:	201-861-9900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	09/14/2012

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