Provider Demographics
NPI:1881869188
Name:MESSA, STEPHANIE PRICE (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:PRICE
Last Name:MESSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:PRICE
Other - Last Name:MESSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8 HUXLEY CT
Mailing Address - Street 2:MARLBORO
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2140
Mailing Address - Country:US
Mailing Address - Phone:215-219-7836
Mailing Address - Fax:
Practice Address - Street 1:8 HUXLEY CT
Practice Address - Street 2:MARLBORO
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2140
Practice Address - Country:US
Practice Address - Phone:215-219-7836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08685500207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology