Healthcare Provider Details

I. General information

NPI: 1952292393
Provider Name (Legal Business Name): PHILLIP STEINHAUER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 W FRANKLIN AVE
COLLINGSWOOD NJ
08107-1922
US

IV. Provider business mailing address

323 W FRANKLIN AVE
COLLINGSWOOD NJ
08107-1922
US

V. Phone/Fax

Practice location:
  • Phone: 856-261-1513
  • Fax:
Mailing address:
  • Phone: 856-261-1513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number26NR21361800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: