Stefan John Stefanovich JR., PA

NPI #1326039769 in Cambridge, New York

Provider Information

NPI Number: 1326039769
Entity Type: Individual
Name: Stefan John Stefanovich JR., PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 3, 2005
Last Updated: Jun 11, 2012

Practice Location

Address: 35 GILBERT ST
Address 2: CAMBRIDGE FAMILY HEALTH CENTER
City: Cambridge
State: New York
ZIP Code: 12816-2618
Phone: (518) 677-3961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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