Provider Demographics
NPI:1962421479
Name:MARFIA, STEPHEN VINCENT (CP)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:VINCENT
Last Name:MARFIA
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SAYLES HILL RD
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02838-1227
Mailing Address - Country:US
Mailing Address - Phone:401-871-0207
Mailing Address - Fax:
Practice Address - Street 1:158 MOON DANCE LN
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-5632
Practice Address - Country:US
Practice Address - Phone:843-870-3948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICP000161744P3200X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No1744P3200XOther Service ProvidersSpecialistProsthetics Case Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
RICP00016OtherLICENSURE