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NPI Code Detail

MEDICARE: DALE M STEIN

MEDICARE: DALE M STEIN
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
1152W00000XOptometrist27OA00426500NJ

General Provider Information

NPI Number : 1255318150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALE M STEIN
Provider Business Mailing Address
First Line : 2095 VOORHEES TOWN CTR
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-1910
Country : US
Telephone Number : 856-772-6331
Fax Number :
Provider Business Practice Location Address
First Line : 2095 VOORHEES TOWN CTR
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-1910
Country : US
Telephone Number : 856-772-6331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 12/20/2010

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Directions to “ DALE M STEIN ” Practice Location

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