| Doctor Name: | MRS. STEPHANIE SUTPHIN |
| NPI Number: | 1427222009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPC |
| License Number: | NN77221 |
| Business Practice Address: | 163 Route 130 Building 1 Suite B Bordentown, NJ - 085052248 |
| Business Phone Number: | 6092982992 |
| Business Fax Number: | 6092918359 |
| Mailing Address: | 163 Route 130, Building 1 Suite B BORDENTOWN |
| State: | NJ |
| Postal Code: | 085052248 |
| Phone Number: | 6092982992 |
| Fax Number: | 6092918359 |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 04/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NN77221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |