Healthcare Provider Details

I. General information

NPI: 1679645261
Provider Name (Legal Business Name): PAUL FRANK STEFANELLI D.C.D.A.C.N.B..
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 FRANKLIN AVE
BELLEVILLE NJ
07109-1540
US

IV. Provider business mailing address

567 FRANKLIN AVE
BELLEVILLE NJ
07109-1540
US

V. Phone/Fax

Practice location:
  • Phone: 973-450-1003
  • Fax: 973-450-5302
Mailing address:
  • Phone: 973-450-1003
  • Fax: 973-450-5302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberMCO3344
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: