STEPHEN CHARLES LICETTI

EWING, NJ
NPI1558508192
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MB08833000)
Enumeration Date2009-01-20
Last Update Date2020-09-02
Business Address
Dr. STEPHEN CHARLES LICETTI D.O.
34 SCOTCH RD STE 1
EWING, NJ 08628-2528
Phone number: 609-498-7670
Mailing Address
Dr. STEPHEN CHARLES LICETTI D.O.
210 YORKTOWN PLZ
ELKINS PARK, PA 19027-1424
Phone number:
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