Healthcare Provider Details

I. General information

NPI: 1821062456
Provider Name (Legal Business Name): STEPHEN W SAWIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 LIPPINCOTT DR SUITE 130
MARLTON NJ
08053-4161
US

IV. Provider business mailing address

227 LAUREL RD STE 300
VOORHEES NJ
08043-8303
US

V. Phone/Fax

Practice location:
  • Phone: 856-596-2233
  • Fax: 856-596-2411
Mailing address:
  • Phone: 856-669-6050
  • Fax: 856-528-3117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMA074055
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: