Healthcare Provider Details

I. General information

NPI: 1699065938
Provider Name (Legal Business Name): EDWARD SZTEINBAUM,MD,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 04/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 N HARRISON ST SUITE 1
PRINCETON NJ
08540-3524
US

IV. Provider business mailing address

330 N HARRISON ST SUITE 1
PRINCETON NJ
08540-3524
US

V. Phone/Fax

Practice location:
  • Phone: 609-921-3666
  • Fax:
Mailing address:
  • Phone: 609-921-3666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA5891000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number25MA5891000
License Number StateNJ

VIII. Authorized Official

Name: DR. EDWARD SZTEINBAUM
Title or Position: PROPRIETOR
Credential: M.D.
Phone: 609-921-3666