Provider Demographics
NPI:1992788756
Name:DRIBBON, STEVEN M (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:DRIBBON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:503 RARITAN AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2901
Mailing Address - Country:US
Mailing Address - Phone:732-572-0020
Mailing Address - Fax:732-572-0688
Practice Address - Street 1:1100 WESCOTT DR STE 303
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4600
Practice Address - Country:US
Practice Address - Phone:908-788-6449
Practice Address - Fax:908-788-6668
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00122000213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3138801Medicaid
NJT44863Medicare UPIN
NJ3138801Medicaid