Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | MCO3344 | NJ |
NPI | 1679645261 |
---|---|
Provider Name | Dr. Paul Frank Stefanelli |
First Address | Belleville, NJ 07109-1540 |
Second Address | Belleville, NJ 07109-1540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |