=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225309420
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOWARD L. STEIN MD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2012
-----------------------------------------------------
Last Update Date | 01/19/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4257 ROUTE 9 N
-----------------------------------------------------
City | FREEHOLD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07728-8310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-462-5800
-----------------------------------------------------
Fax | 732-462-8963
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4257 ROUTE 9 N
-----------------------------------------------------
City | FREEHOLD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07728-8310
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-462-5800
-----------------------------------------------------
Fax | 732-462-8963
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. HOWARD L STEIN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 732-462-5800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208200000X
-----------------------------------------------------
Taxonomy Name | Plastic Surgery Physician
-----------------------------------------------------
License Number | 25MA04777900
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------