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NPI Code Detail

MEDICARE: STELLA I HAN MD

MEDICARE: STELLA I HAN 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 Physician25MA07097300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619957610
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA I HAN MD
Provider Business Mailing Address
First Line : 4 CORNWALL CT
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-3331
Country : US
Telephone Number : 732-613-9191
Fax Number : 732-613-1139
Provider Business Practice Location Address
First Line : 4 CORNWALL CT
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-3331
Country : US
Telephone Number : 732-613-9191
Fax Number : 732-613-1139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/08/2007

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Directions to “ STELLA I HAN MD” Practice Location

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