MEDICARE: STEPHANIE STOBINSKI

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	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40QB00243500	OTHER	NJ	LICENSE #

General Provider Information

NPI Number	:	1316057995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE STOBINSKI

Provider Business Mailing Address
First Line	:	101 SOMERSET AVE
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-1719
Country	:	US
Telephone Number	:	908-526-3276
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 STATE ROUTE 18
Second Line	:	STE 203
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1407
Country	:	US
Telephone Number	:	732-238-4010
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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Directions to “ STEPHANIE STOBINSKI ” Practice Location

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