Healthcare Provider Details

I. General information

NPI: 1093793911
Provider Name (Legal Business Name): JOSEPH A STEGMULLER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 WHITE HORSE PIKE SUITE 3
BARRINGTON NJ
08007-1322
US

IV. Provider business mailing address

108 KINGS HWY E 3RD FLOOR
HADDONFIELD NJ
08033-2099
US

V. Phone/Fax

Practice location:
  • Phone: 856-547-3111
  • Fax:
Mailing address:
  • Phone: 856-354-4942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB06046900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: