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Organization
STANLEY J. TRAVIS, JR, D.O., P.C.
Active
Organization
STANLEY J. TRAVIS, JR, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY J TRAVIS JR. D.O. (PRES)
(215) 672-6877
Entity
Organization
Contact information
Practice address
501 BUCKMAN DRIVE, HATBORO, PA 19040-1402
(215) 672-6877
(215) 672-6812
Mailing address
501 BUCKMAN DRIVE, HATBORO, PA 19040-1402
(215) 672-6877
(215) 672-6812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002173L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00606544-01
—
PA
Enumeration date
05/17/2010
Last updated
05/17/2010
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