Healthcare Provider Details
I. General information
NPI: 1427047703
Provider Name (Legal Business Name): DALE LOUISE STEINBERG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/19/2005
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 NEWARK AVE SUITE 102
BELLEVILLE NJ
07109-1185
US
IV. Provider business mailing address
50 NEWARK AVE SUITE 102
BELLEVILLE NJ
07109-1185
US
V. Phone/Fax
- Phone: 973-450-8700
- Fax: 973-450-5168
- Phone: 973-450-8700
- Fax: 973-450-5168
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MB50937 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: