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Stephen Theccanat, M.D.

NPI Number 1831261288

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Practice Location

  • 300 2nd Ave
    Long Branch, NJ 07740
  • Phone: (732) 923-6900
  • Fax: (732) 923-6914

Business Location

  • Po Box 8000
    Buffalo, NY 14267
  • Phone: (866) 295-0041
  • Fax: (732) 923-6914

Other Information

  • Enumeration date: 11/14/2006
  • Last updat date: 10/14/2011
  • NPI deactivation reason code:
  • NPI deactivation date: 01/01/1970
  • Taxonomy code: 2084P0800X
  • License number: 25MA06166600
  • License number state code: NJ
  • Primary taxonomy switch: Y

Practice Location Map

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NPI number 1831261288 is assigned to Stephen Theccanat, M.d.. Stephen Theccanat, M.d. is practice in Long Branch, NJ 07740 with phone number 8662950041. The number of page view of Stephen Theccanat, M.d. is 42.

The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System.

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