Lorraine Ann Stephenson
SUPERIOR PHYSICAL MEDICINE LLC


Address: 316 Orange Rd, Montclair, NJ 07042-4310
Phone: 9737833606

Lorraine Ann Stephenson (NPI# 1114205275, PAC ID# 8628209301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1114205275
PAC ID by PECOS 8628209301
Professional Enrollment ID I20160801000099
Full Name Lorraine Ann Stephenson
Organization Legal Name SUPERIOR PHYSICAL MEDICINE LLC
Address 316 Orange Rd
Montclair
NJ 07042-4310
Phone Number 9737833606
Gender F
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5799076790
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
316 Orange Rd, Montclair, NJ 07042-4310 9737833606 SUPERIOR PHYSICAL MEDICINE LLC

Organization Information

Organization Legal Name SUPERIOR PHYSICAL MEDICINE LLC
Physicians 1

Office Location

Street Address 316 ORANGE RD
City MONTCLAIR
State NJ
Zip 07042-4310

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Marisol Vazquez Registered Dietitian Or Nutrition Professional Back To Basics Nutrition Counseling, LLC 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129
Linda A Ditullio Clinical Social Worker 8 Hillside Ave, Suite 108 6, Montclair, NJ 07042-2129
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Megan Marchaterre Registered Dietitian Or Nutrition Professional Back To Basics Nutrition Counseling, LLC 8 Hillside Ave, Suite 207, Montclair, NJ 07042-2129
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Competitor

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City MONTCLAIR
Zip Code 07042
Specialty NURSE PRACTITIONER
City + Specialty MONTCLAIR + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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