Individual provider · Type 1 NPI

Stacy Leung, PA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1740795764 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 662-3830 Map

Other practice locations

  • 1 Brace Rd Ste H, Cherry Hill, NJ 08034-2600 · (856) 547-0389

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XMA059527 (PA)
Surgical Physician Assistant Primary 363AS0400X25MP00689300 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1740795764

Stacy Leung, PA-C's National Provider Identifier is 1740795764, issued on Dec 13, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 6, 2026.