Provider Demographics
NPI:1801945076
Name:SHER, STEPHAN ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:STEPHAN
Middle Name:ROBERT
Last Name:SHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:101 MCGREGOR AVE
Mailing Address - Street 2:
Mailing Address - City:MT ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07856-1032
Mailing Address - Country:US
Mailing Address - Phone:973-663-3170
Mailing Address - Fax:973-663-0080
Practice Address - Street 1:2527 E TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-2834
Practice Address - Country:US
Practice Address - Phone:610-437-3594
Practice Address - Fax:973-663-0080
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS002615L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine