Basic Information
| Provider Information | |||||||||
| NPI: | 1609997873 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SOLOWAY | ||||||||
| FirstName: | STEPHEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D.,FACP.,FACR.,CCD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2697 | ||||||||
| Address2: | |||||||||
| City: | VINELAND | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 083622697 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8567949090 | ||||||||
| FaxNumber: | 8567945658 | ||||||||
| Practice Location | |||||||||
| Address1: | 2848 S DELSEA DR | ||||||||
| Address2: | BLDG 2C | ||||||||
| City: | VINELAND | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 083607042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8567949090 | ||||||||
| FaxNumber: | 8567943058 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2007 | ||||||||
| LastUpdateDate: | 01/07/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 25MA05934500 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.