Provider Demographics
NPI:1609997873
Name:SOLOWAY, STEPHEN (MD,FACP,FACR,CCD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:SOLOWAY
Suffix:
Gender:M
Credentials:MD,FACP,FACR,CCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2697
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-2697
Mailing Address - Country:US
Mailing Address - Phone:856-794-9090
Mailing Address - Fax:856-794-5658
Practice Address - Street 1:2848 S DELSEA DR
Practice Address - Street 2:BLDG 2C
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7042
Practice Address - Country:US
Practice Address - Phone:856-794-9090
Practice Address - Fax:856-794-3058
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05934500207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology