| Doctor Name: | DR. RICHARD G STEFANACCI |
| NPI Number: | 1366644809 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | MB016547 |
| Business Practice Address: | 338 Chestnut St Passaic, NJ - 07055 |
| Business Phone Number: | 9734719494 |
| Business Fax Number: | 9737784649 |
| Mailing Address: | 338 Chestnut St, PASSAIC |
| State: | NJ |
| Postal Code: | 07055 |
| Phone Number: | 9734719494 |
| Fax Number: | 9737784649 |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MB016547 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |