Provider Demographics
NPI:1790009538
Name:STEVEN M. DRIBBON, DPM, PC
Entity Type:Organization
Organization Name:STEVEN M. DRIBBON, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:DRIBBON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:732-572-0020
Mailing Address - Street 1:503 RARITAN AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2901
Mailing Address - Country:US
Mailing Address - Phone:732-572-0020
Mailing Address - Fax:732-572-0688
Practice Address - Street 1:503 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2901
Practice Address - Country:US
Practice Address - Phone:732-572-0020
Practice Address - Fax:732-572-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00122000213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty