STEPHEN THECCANAT

LONG BRANCH, NJ
NPI1831261288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ  25MA06166600)
Enumeration Date2006-11-14
Last Update Date2011-10-14
Business Address
-- STEPHEN THECCANAT M.D.
300 2ND AVE
LONG BRANCH, NJ 07740-6303
Phone number: 732-923-6900
Mailing Address
-- STEPHEN THECCANAT M.D.
PO BOX 8000 DEPT 601
BUFFALO, NY 14267-0002
Phone number: 866-295-0041