Provider Demographics
NPI:1588083281
Name:BIRNHAK, STEFANI H (DO)
Entity type:Individual
Prefix:
First Name:STEFANI
Middle Name:H
Last Name:BIRNHAK
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 1:201 E FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-3517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 E FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-3517
Practice Address - Country:US
Practice Address - Phone:201-652-1888
Practice Address - Fax:201-652-6485
Is Sole Proprietor?:No
Enumeration Date:2014-04-09
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307941208000000X
NJ25MB10044300208000000X
CA20814207RA0000X
CA20A20814208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine