Provider Demographics
NPI:1881752277
Name:JOHN A STEFANO, MD PC
Entity type:Organization
Organization Name:JOHN A STEFANO, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-504-0281
Mailing Address - Street 1:142 LINDEN DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2818
Mailing Address - Country:US
Mailing Address - Phone:540-722-6200
Mailing Address - Fax:540-504-0887
Practice Address - Street 1:142 LINDEN DR
Practice Address - Street 2:SUITE 108
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2818
Practice Address - Country:US
Practice Address - Phone:540-722-6200
Practice Address - Fax:540-504-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADA1256OtherMEDICARE RAILROAD
VAC08766Medicare ID - Type Unspecified