Healthcare Provider Details

I. General information

NPI: 1447220520
Provider Name (Legal Business Name): STEPHEN BURNSTEIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 E EVESHAM RD SUITE 101
VOORHEES NJ
08043-1559
US

IV. Provider business mailing address

PO BOX 635
BELLMAWR NJ
08099-0635
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-5005
  • Fax: 856-424-4716
Mailing address:
  • Phone: 856-770-5772
  • Fax: 856-566-2797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMB03486800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMB03486800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: