Provider Demographics
NPI:1962572073
Name:SNEAD POELLNITZ, STEPHANIE E (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:E
Last Name:SNEAD POELLNITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHANIE
Other - Middle Name:E
Other - Last Name:SNEAD-POELLNITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:33 DELANCY CT
Mailing Address - Street 2:P.O. BOX 842
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-3442
Mailing Address - Country:US
Mailing Address - Phone:609-703-1999
Mailing Address - Fax:
Practice Address - Street 1:421 BETHEL RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2081
Practice Address - Country:US
Practice Address - Phone:609-365-2601
Practice Address - Fax:609-365-2519
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA063886002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry