Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA08572300 | NJ |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA08572300 | NJ |
NPI | 1790993228 |
---|---|
Provider Name | Dr. Stephen Erik Adolfsen |
First Address | East Brunswick, NJ 08816-4092 |
Second Address | East Brunswick, NJ 08816-4092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 23/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0347388 | (05) | NJ |