Healthcare Provider Details

I. General information

NPI: 1407852676
Provider Name (Legal Business Name): STEPHEN EUGENE ZRADA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 ROUTE 70 EAST STE 220
CHERRY HILL NJ
08003-2013
US

IV. Provider business mailing address

51 N 39TH ST
PHILADELPHIA PA
19104-4206
US

V. Phone/Fax

Practice location:
  • Phone: 856-429-1519
  • Fax: 856-427-0250
Mailing address:
  • Phone: 856-429-1519
  • Fax: 856-427-0250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA07352100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD069087L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: