MEDICARE: STELLAR MEDICAL SYSTEMS INC

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	207V00000X	Obstetrics & Gynecology Physician	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

General Provider Information

NPI Number	:	1396953782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLAR MEDICAL SYSTEMS INC

Provider Business Mailing Address
First Line	:	PO BOX 156
Second Line	:
City	:	FRANKLIN LAKES
State	:	NJ
Zip	:	07417-0156
Country	:	US
Telephone Number	:	201-969-9996
Fax Number	:	201-969-9991

Provider Business Practice Location Address
First Line	:	71 UNION AVE
Second Line	:	SUITE 101
City	:	RUTHERFORD
State	:	NJ
Zip	:	07070-1274
Country	:	US
Telephone Number	:	201-933-4775
Fax Number	:	201-935-0549

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. STEFANO M STELLA
Credential	:	MD
Telephone Number	:	201-969-9996

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	03/21/2011

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Directions to “STELLAR MEDICAL SYSTEMS INC ” Practice Location

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