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General NPI Number Information
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NPI Number | 1689793051
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Entity Type | Individual
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Provider Name | STEVEN JOSEPH CORVARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 917 S MAIN ST
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-3617
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Country | US
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Telephone | 609-645-9300
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Fax | 609-645-9600
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Provider Business Mailing Address
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Address Line | 815 PENNLYN PL # 3
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City | OCEAN CITY
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State | NJ
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Zip | 08226-4143
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Country | US
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Telephone | 201-694-8412
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA08667100
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License Number State | NJ
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