Provider Demographics
NPI:1427047703
Name:STEINBERG, DALE LOUISE (DO)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:LOUISE
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NEWARK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1185
Mailing Address - Country:US
Mailing Address - Phone:973-450-8700
Mailing Address - Fax:973-450-5168
Practice Address - Street 1:50 NEWARK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1185
Practice Address - Country:US
Practice Address - Phone:973-450-8700
Practice Address - Fax:973-450-5168
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB50937208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0884103Medicaid
NJ2514285OtherAETNA
NJP724702OtherOXFORD