Provider Demographics
NPI:1235420605
Name:STEPHENS, CLARE (DO)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:STEPHENS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CLARE
Other - Middle Name:
Other - Last Name:LIPPERINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1474 TANYARD ROAD, SUITE D102
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080
Mailing Address - Country:US
Mailing Address - Phone:856-566-7045
Mailing Address - Fax:856-566-6850
Practice Address - Street 1:1474 TANYARD ROAD
Practice Address - Street 2:SUITE D102
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-566-7045
Practice Address - Fax:856-566-6850
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09457800208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics