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General NPI Number Information
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NPI Number | 1205803350
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Entity Type | Individual
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Provider Name | JOEL STECKELMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 1129 BLOOMFIELD AVE SUITE 100
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7127
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Country | US
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Telephone | 973-575-8585
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Fax | 973-882-6914
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Provider Business Mailing Address
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Address Line | 1129 BLOOMFIELD AVE SUITE 100
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-7127
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Country | US
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Telephone | 973-575-8585
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Fax | 973-882-6914
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA02390700
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License Number State | NJ
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