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Contact Information

DEREK A STEPHENSON, MD
1103 WEST SHERMAN AVENUE
BUILDING 2 UNIT C
VINELAND, NJ08360
 Phone: 856-362-5259
 Fax: 856-405-6978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DEREK A STEPHENSON · (Male)

NPI Number 1740441443
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2008
Last updated 12/31/2019 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # R70529
  • FL License # ME116873
  • NJ License # 25MA09618900
  • NJ Medicaid 0475025
Hospital affiliation(s)
  • SOUTH JERSEY HEALTHCARE REGIONAL MEDICAL CENTER - (Acute Care)
    1505 W SHERMAN AVE
    VINELAND, NJ 08360
  • SOUTH JERSEY HEALTHCARE-ELMER HOSPITAL - (Acute Care)
    501 WEST FRONT STREET
    ELMER, NJ 08318
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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