Individual
DR. STACEY MARDEKIAN GARGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
132 S 10TH ST STE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
(215) 503-4817
Mailing address
132 S 10TH ST STE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
(215) 503-4817
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD456407
PA
Other
Enumeration date
04/08/2012
Last updated
01/25/2019
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