Provider Demographics
NPI:1760712004
Name:STEVENS, HILARY KRISTIN (MD)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:KRISTIN
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:18 W BLACKWELL ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-3841
Mailing Address - Country:US
Mailing Address - Phone:973-328-9100
Mailing Address - Fax:973-328-9101
Practice Address - Street 1:4 ATNO AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3802
Practice Address - Country:US
Practice Address - Phone:973-267-0002
Practice Address - Fax:973-328-9102
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09575900207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine