MEDICARE: THOMAS J STEFFE 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	208200000X	Plastic Surgery Physician	25MA06506200	NJ
2	208200000X	Plastic Surgery Physician	MD046057L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	042493SYM	OTHER	NJ	MEDICARE PROVIDER ID
3	848743STK	OTHER	PA	MEDICARE PROVIDER ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962407221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS J STEFFE M.D.

Provider Business Mailing Address
First Line	:	1007 MANTUA PIKE, SUITE B
Second Line	:
City	:	WOODBURY
State	:	NJ
Zip	:	08096-3963
Country	:	US
Telephone Number	:	856-256-7705
Fax Number	:	856-256-7709

Provider Business Practice Location Address
First Line	:	1007 MANTUA PIKE, SUITE B
Second Line	:
City	:	WOODBURY
State	:	NJ
Zip	:	08096-3963
Country	:	US
Telephone Number	:	856-256-7705
Fax Number	:	856-256-7709

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/29/2018

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Directions to “ THOMAS J STEFFE M.D.” Practice Location

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