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STANFORD PEDIATRIC SURGERY LLC NPI 1922524123


NPI Information

NPI: 1922524123
Provider Name: STANFORD PEDIATRIC SURGERY, LLC
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
419 JOHNSON ST
JENKINTOWN, PA
ZIP 19046
Phone: (215) 792-2058
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STANFORD PEDIATRIC SURGERY, LLC is a pediatric surgery surgery in Jenkintown, PA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. STANFORD PEDIATRIC SURGERY, LLC NPI is 1922524123. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

419 JOHNSON ST
JENKINTOWN, PA
ZIP 19046-705
Phone: (215) 792-2058
Fax: (215) 754-4295

The provider's authorized official is Ala Stanford .
The authorized official title is Founder/director and has the following contact phone number (215) 817-8683.

The enumeration date for this NPI number is 8/18/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryMD419738PENNSYLVANIANo
22086S0120XSurgeryPediatric SurgeryMD419738PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11750394037OTHERPENNSYLVANIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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