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Organization
STC PEDIATRICS LLC
Active
Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Emergency Medicine - E. Erie A
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MICHAEL VALENTINO JR. (VP OF REVENUE INTEGRITY)
(484) 628-9380
Entity
Organization
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5369
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
NULL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
06/02/2026
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