Provider Demographics
NPI:1700118783
Name:STEGEN, NORMAN ROBERT JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:ROBERT
Last Name:STEGEN
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:93 SCRIVANI DR
Mailing Address - Street 2:
Mailing Address - City:WANAQUE
Mailing Address - State:NJ
Mailing Address - Zip Code:07465-1216
Mailing Address - Country:US
Mailing Address - Phone:973-616-8199
Mailing Address - Fax:973-256-5346
Practice Address - Street 1:11A COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-3106
Practice Address - Country:US
Practice Address - Phone:800-526-5113
Practice Address - Fax:973-256-5346
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI14463183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist