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Organization
MAGEE REHABILITATION HOSPITAL
Active
Organization
MAGEE REHABILITATION HOSPITAL
Active
Other names
Magee Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DESTEFANO (ADMINISTRATOR)
(215) 587-3173
Entity
Organization
Contact information
Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3122
Mailing address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(215) 587-3122
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/06/2006
Last updated
03/03/2017
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