Healthcare Provider Details

I. General information

NPI: 1528080355
Provider Name (Legal Business Name): STEPHEN VOROS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 EAST LAUREL RD KENNEDY HEALTH SYSTEM
STRAFORD NJ
08084
US

IV. Provider business mailing address

700 US-130 N SUITE 203
CINNAMINSON NJ
08077
US

V. Phone/Fax

Practice location:
  • Phone: 856-346-6000
  • Fax:
Mailing address:
  • Phone: 856-829-9345
  • Fax: 856-829-0580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number25MA06321900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA06321900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: