MEDICARE: DR. STEPHANIE LYNNE MARSHALL M.D.

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	207VX0000X	Obstetrics Physician	25MA08737300	NJ
2	207VE0102X	Reproductive Endocrinology Physician	25MA08737300	NJ

General Provider Information

NPI Number	:	1568669075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE LYNNE MARSHALL M.D.

Provider Business Mailing Address
First Line	:	94 OLD SHORT HILLS RD STE 403E
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-5672
Country	:	US
Telephone Number	:	973-548-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 YORK ST STE 301
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-3838
Country	:	US
Telephone Number	:	201-275-0010
Fax Number	:

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

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	02/18/2025

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