Organization · Type 2 NPI
Stanford Pediatric Surgery, LLC
Pediatric Surgery Physician · Jenkintown, PA
NPI number
1922524123
Active
Practice location
419 Johnson St
Jenkintown, PA 19046-2705
Fax (215) 754-4295
Mailing address
Archways Professional Building, 419 Johnson Street
Jenkintown, PA 19046-2705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | MD419738 (PA) |
| Pediatric Surgery Physician Primary | 2086S0120X | MD419738 (PA) |
Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Another provider at this address
Other pediatric surgery physician providers in Jenkintown
About NPI 1922524123
Stanford Pediatric Surgery, LLC's National Provider Identifier is 1922524123, issued on Aug 18, 2017. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Jenkintown, PA. The record was last updated on Jul 21, 2022.