Provider Demographics
NPI:1356349641
Name:EPSTEIN, STEVEN BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRIAN
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 BOULEVARD EAST
Mailing Address - Street 2:GALAXY MALL SUITE M13
Mailing Address - City:GUTTENBERG
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-4818
Mailing Address - Country:US
Mailing Address - Phone:201-861-9900
Mailing Address - Fax:201-861-9977
Practice Address - Street 1:7000 BOULEVARD EAST
Practice Address - Street 2:GALAXY MALL SUITE M13
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-4818
Practice Address - Country:US
Practice Address - Phone:201-861-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA083557002085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F27685Medicare UPIN