Provider Demographics
NPI:1568669075
Name:MARSHALL, STEPHANIE LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:LYNNE
Last Name:MARSHALL
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:MARSHALL
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:94 OLD SHORT HILLS RD STE 403E
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5672
Mailing Address - Country:US
Mailing Address - Phone:973-548-9900
Mailing Address - Fax:
Practice Address - Street 1:66 YORK ST STE 301
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3838
Practice Address - Country:US
Practice Address - Phone:201-275-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08737300207VX0000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics