Individual
DR. LATA TADIKONDA STAVROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 STURBRIDGE DR, BRYN MAWR, PA 19010-2082
(610) 527-9676
Mailing address
707 STURBRIDGE DR, BRYN MAWR, PA 19010-2082
(610) 527-9676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD071099L
PA
Other
Enumeration date
05/08/2010
Last updated
05/08/2010
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