Basic Information
Provider Information
NPI: 1831536440
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAND
FirstName: STEVEN
MiddleName: CASEY
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 77 PEREGRINE DR
Address2:  
City: VOORHEES
State: NJ
PostalCode: 080431689
CountryCode: US
TelephoneNumber: 4048494571
FaxNumber:  
Practice Location
Address1: 1505 W SHERMAN AVE
Address2:  
City: VINELAND
State: NJ
PostalCode: 083607059
CountryCode: US
TelephoneNumber: 8566418000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2013
LastUpdateDate: 07/01/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XMT 203941PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X25MA09815400NJN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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