Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 25MB09683200 | NJ |
Y | 207VX0201X | Gynecologic Oncologist | 25MB09683200 | NJ |
NPI | 1063649051 |
---|---|
Provider Name | Dr. Ruth Deborah Stephenson |
First Address | New Brunswick, NJ 08901-1962 |
Second Address | New Brunswick, NJ 08901-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 27/03/2017 |