Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN A CHIDYLLO, MD
Active Sole ProprietorSTEPHEN A CHIDYLLO, MD is a Plastic and Reconstructive Surgery healthcare provider located in OCEAN, New Jersey. NPI 1578547311 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · OCEAN, NJ
Registration Details
- NPI Number
- 1578547311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2005 (20.701367396572 yrs)
- Last Updated
- Jan 18, 2024
- License
-
25MA05905100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8 JUDITH COURTOCEAN, NJ, 07712Browse NJ providers · Browse ZIP 07712
- Phone
- 7328591156
- Fax
- 7326055959
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
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.