MEDICARE: DR. EMILY CAREN STEIN DDS

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	122300000X	Dentist	22DI02274700	NJ

General Provider Information

NPI Number	:	1871595785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY CAREN STEIN DDS

Provider Business Mailing Address
First Line	:	1420 LOCUST ST APT 6N
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4205
Country	:	US
Telephone Number	:	609-457-9816
Fax Number	:

Provider Business Practice Location Address
First Line	:	5429 HARDING HWY STE 101
Second Line	:
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-2263
Country	:	US
Telephone Number	:	609-625-0505
Fax Number	:

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

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	04/14/2008

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