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NPI Code Detail

MEDICARE: STEFANIE KNAPP MD

MEDICARE: STEFANIE KNAPP 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
1207W00000XOphthalmology PhysicianMD448469PA
2207W00000XOphthalmology Physician25MA08102400NJ

General Provider Information

NPI Number : 1376651257
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE KNAPP MD
Provider Business Mailing Address
First Line : 707 BAYLEY CT
Second Line :
City : BRIDGEWATER
State : NJ
Zip : 08807-3596
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 890 MOUNTAIN AVE
Second Line :
City : NEW PROVIDENCE
State : NJ
Zip : 07974-1218
Country : US
Telephone Number : 908-277-8682
Fax Number : 908-277-8694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 05/12/2023

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