Provider Demographics
NPI:1629159694
Name:SHOEN, STEVEN LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LLOYD
Last Name:SHOEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 BRIDGE STREET
Mailing Address - Street 2:BUILDING E
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840
Mailing Address - Country:US
Mailing Address - Phone:732-632-6090
Mailing Address - Fax:732-632-6094
Practice Address - Street 1:222 BRIDGE STREET
Practice Address - Street 2:BUILDING E
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840
Practice Address - Country:US
Practice Address - Phone:732-632-6090
Practice Address - Fax:732-632-6094
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA069410002082S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Not Answered2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
01B48OtherEMPIRE BC
0475048OtherCIGNA
3194108OtherAETNA
5010209OtherAETNA
0475048OtherCIGNA
3194108OtherAETNA