Provider Demographics
NPI:1558627711
Name:OWTSCHARUK, STEPHEN K
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:K
Last Name:OWTSCHARUK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3554
Mailing Address - Country:US
Mailing Address - Phone:609-882-1898
Mailing Address - Fax:609-882-3880
Practice Address - Street 1:1931 NOTTINGHAM WAY
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3554
Practice Address - Country:US
Practice Address - Phone:609-882-1898
Practice Address - Fax:609-882-3880
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor