MEDICARE: STEFANO M STELLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA04443100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	835C01	OTHER	NJ	EMPIRE BCBS OF NY
3	11761	OTHER	NJ	UNIVERSITY HEALTH PLANS
4	1238279	OTHER	NJ	AETNA HMO
5	BE000007401	OTHER	NJ	AMERICHOICE
6	305465	OTHER	NJ	AMERIGROUP
7	4244772	OTHER	NJ	AETNA PPO
8	1012274	OTHER	NJ	HORIZON NJ HEALTH
9	3K3088	OTHER	NJ	HEALTHNET
10	P798856	OTHER	NJ	OXFORD
11	0105342000	OTHER	NJ	AMERIHEALTH
12	0296293	OTHER	NJ	GHI PPO

General Provider Information

NPI Number	:	1033114475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANO M STELLA MD

Provider Business Mailing Address
First Line	:	PO BOX 156
Second Line	:
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-0156
Country	:	US
Telephone Number	:	201-933-4775
Fax Number	:	201-935-0549

Provider Business Practice Location Address
First Line	:	71 UNION AVE
Second Line	:	SUITE 101
City	:	RUTHERFORD
State	:	NJ
Zip	:	07070-1272
Country	:	US
Telephone Number	:	201-933-4775
Fax Number	:	201-935-0549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	03/01/2011

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Directions to “ STEFANO M STELLA MD” Practice Location

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