Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN CHARLES LICETTI, D.O.
ActiveDR. STEPHEN CHARLES LICETTI, D.O. is a Family Medicine healthcare provider located in EWING, New Jersey. NPI 1558508192 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EWING, NJ
Registration Details
- NPI Number
- 1558508192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2009 (17.540645887501 yrs)
- Last Updated
- Sep 2, 2020
- License
-
25MB08833000 (NJ)
Practice Information
- Address
-
34 SCOTCH RD STE 1EWING, NJ, 086282528Browse NJ providers · Browse ZIP 08628
- Phone
- 6094987670
- Fax
- 6093854150
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in EWING, NJ
| Name | Credential | NPI |
|---|---|---|
| DANIEL K JASS | MD | 1184715542 |
| DR. TARA HUNGSPRUKE VANHISE | D.O. | 1124213418 |
| DR. KASHIF SYED ANWAR | M.D. | 1174800197 |
| MERIAM KHAN | DO | 1194381582 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.