Provider Demographics
NPI:1063136349
Name:STEVENS, SCOTT JAMES (CPRS)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:JAMES
Last Name:STEVENS
Suffix:
Gender:M
Credentials:CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1438
Mailing Address - Country:US
Mailing Address - Phone:856-203-5621
Mailing Address - Fax:
Practice Address - Street 1:1903 GRANT AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-6139
Practice Address - Country:US
Practice Address - Phone:856-629-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist