NPI 1710526363

Andrew Lee Stevens

Practitioner Lodging Provider Camden, NJ

Practice location

Address: 1160 Haddon Ave, Camden, NJ 08103-2802
Phone: (856) 412-0630
Mailing address: 9 Winners Cir, Glassboro, NJ 08028-2033

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

Other Lodging providers in New Jersey →

Registry record

NPI: 1710526363
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2019
Record last updated: 30 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.