Provider Demographics
NPI:1235188798
Name:URETSKY, STEPHEN H (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:H
Last Name:URETSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2021 NEW ROAD
Mailing Address - Street 2:STE 6
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221
Mailing Address - Country:US
Mailing Address - Phone:609-927-3373
Mailing Address - Fax:609-927-4041
Practice Address - Street 1:2021 NEW ROAD
Practice Address - Street 2:STE 6
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221
Practice Address - Country:US
Practice Address - Phone:609-927-3373
Practice Address - Fax:609-927-4041
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA42134207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
086183OtherEMPIRE MEDICARE GROUP
201612829OtherAARP
2345288000OtherAMERIHEALTH GROUP
2K7902OtherHEALTHNET
NJ3124207Medicaid
3724882OtherAETNA GROUP
NJP00175889OtherRR MEDICARE
NJ0116830000OtherAMERIHEALTH
206038OtherUS FAMILY HEALTH PLAN
542685OtherPA BLUE CROSS BLUE SHIELD
542685OtherAMERIHEALTH ADMIN
999187OtherCIGNA
201612829OtherHUMANA
3724613OtherAETNA INDIVIDUAL
NJ0004637OtherTRICARE
P11047015OtherMULTIPLAN
P382155OtherOXFORD
201612829OtherHORIZON BCBS
542685OtherAMERIHEALTH ADMIN
999187OtherCIGNA