1881869188 NPI number — DR. STEPHANIE PRICE MESSA M.D.

Table of content: DR. STEPHANIE PRICE MESSA M.D. (NPI 1881869188)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881869188 NPI number — DR. STEPHANIE PRICE MESSA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MESSA
Provider First Name:
STEPHANIE
Provider Middle Name:
PRICE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MESSA
Provider Other First Name:
STEPHANIE
Provider Other Middle Name:
PRICE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1881869188
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 HUXLEY CT
Provider Second Line Business Mailing Address:
MARLBORO
Provider Business Mailing Address City Name:
MARLBORO
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07746-2140
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-219-7836
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 HUXLEY CT
Provider Second Line Business Practice Location Address:
MARLBORO
Provider Business Practice Location Address City Name:
MARLBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07746-2140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-219-7836
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  25MA08685500 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com