Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01709500 | NJ |
N | 2251X0800X | Physical Therapist - Orthopedic | PT025587 | PA |
NPI | 1063960938 |
---|---|
Provider Name | Dr. Donald Joseph Stieber |
First Address | Hainesport, NJ 08036-2791 |
Second Address | Hainesport, NJ 08036-2791 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2016 |
Last Update Date | 21/03/2021 |