Provider Demographics
NPI:1609822840
Name:MOFFITT, STEPHEN THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:THOMAS
Last Name:MOFFITT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 CAPITAL WAY
Mailing Address - Street 2:CAPITAL HEALTH SYSTEM @ HOPEWELL, PEDIATRIX MED GROUP
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-2520
Mailing Address - Country:US
Mailing Address - Phone:609-537-6151
Mailing Address - Fax:609-537-6975
Practice Address - Street 1:1 CAPITAL WAY
Practice Address - Street 2:CAPITAL HEALTH SYSTEM @ HOPEWELL, PEDIATRIX MED GROUP
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2520
Practice Address - Country:US
Practice Address - Phone:609-537-6151
Practice Address - Fax:609-537-6975
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2016-08-31
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA060086002080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine