Provider Demographics
NPI:1275697013
Name:SAFKA, STEPHEN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:JOSEPH
Last Name:SAFKA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S CHURCH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-2572
Mailing Address - Country:US
Mailing Address - Phone:856-722-5696
Mailing Address - Fax:856-722-6757
Practice Address - Street 1:801 S CHURCH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2572
Practice Address - Country:US
Practice Address - Phone:856-722-5696
Practice Address - Fax:856-722-6757
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00434100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor