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Steven David Plotka

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NPI Number Detailed Information

Provider Information:

Name: Steven David Plotka
Gender: M
Provider License Number If Given: MD002461

NPI Information:

NPI: 1689668196
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 8/18/2016

Provider Business Mailing Address:

Address: 224 TAYLORS MILLS RD STE 111
Manalapan, NJ 07726
Phone Number: 7327807331
Fax Number: 7329722156

Provider Business Practice Location Address:

Address: 224 TAYLORS MILLS RD STE 111
Manalapan, NJ 07726
Phone Number: 7327807331
Fax Number: 7329722156

Provider Taxonomy:

Primary: 213ES0103X
Secondary (if any): 213ES0103X
State: NJ