Healthcare Provider Details

I. General information

NPI: 1407823669
Provider Name (Legal Business Name): JUDIT ORBAN STENN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 ONE MILE ROAD SUITE G
EAST WINDSOR NJ
08520
US

IV. Provider business mailing address

59 ONE MILE ROAD SUITE G
EAST WINDSOR NJ
08520
US

V. Phone/Fax

Practice location:
  • Phone: 609-443-4500
  • Fax: 609-443-4808
Mailing address:
  • Phone: 609-443-4500
  • Fax: 609-443-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number25MA05760400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: