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Contact Information

ILENE F STEPHAN, MD
12420 WARWICK BLVD
BUILDING 3, SUITE 4A
NEWPORT NEWS, VA23606
 Phone: 757-594-4431
 Fax: 757-594-2936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ILENE F STEPHAN · (Female)

NPI Number 1235253246
Status Active
Credentials MD
Entity Individual
Enumeration date 03/16/2007
Last updated 10/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101226300
  • VA Medicaid 1235253246
Hospital affiliation(s)
  • RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG - (Acute Care)
    1500 COMMONWEALTH AVENUE
    WILLIAMSBURG, VA 23185
  • RIVERSIDE REGIONAL MEDICAL CENTER - (Acute Care)
    500 J CLYDE MORRIS BLVD
    NEWPORT NEWS, VA 23601
  • RIVERSIDE WALTER REED HOSPITAL - (Acute Care)
    7519 HOSPITAL ROAD
    GLOUCESTER, VA 23061
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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