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NPI Code Detail

MEDICARE: STELLA OYEFESOBI RPT

MEDICARE: STELLA OYEFESOBI RPT
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
1225100000XPhysical Therapist40QA00431400NJ

General Provider Information

NPI Number : 1255303426
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA OYEFESOBI RPT
Provider Business Mailing Address
First Line : 1460 LIVINGSTON AVE
Second Line : BLDG 400, 3RD FLOOR
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-1873
Country : US
Telephone Number : 732-828-3100
Fax Number :
Provider Business Practice Location Address
First Line : 1460 LIVINGSTON AVE
Second Line : BLDG 400, 3RD FLOOR
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-1873
Country : US
Telephone Number : 732-828-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 10/16/2007

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Directions to “ STELLA OYEFESOBI RPT” Practice Location

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