Healthcare Provider Details

I. General information

NPI: 1073517470
Provider Name (Legal Business Name): EDWARD A STEINMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 09/11/2020
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 N CENTER DR
NORTH BRUNSWICK NJ
08902-4909
US

IV. Provider business mailing address

PO BOX 825491
PHILADELPHIA PA
19182-0001
US

V. Phone/Fax

Practice location:
  • Phone: 732-297-8001
  • Fax:
Mailing address:
  • Phone: 732-582-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA 044225
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: