Provider Demographics
NPI:1346219219
Name:VOSO, STEPHEN A (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:A
Last Name:VOSO
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 1:216 NORTHFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1950
Mailing Address - Country:US
Mailing Address - Phone:609-646-1166
Mailing Address - Fax:
Practice Address - Street 1:216 NORTHFIELD AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1950
Practice Address - Country:US
Practice Address - Phone:609-646-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00342900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VO417167Medicare ID - Type Unspecified
U24635Medicare UPIN