Individual
DWIGHT E STAMBOLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-2286
(215) 615-0500
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2614
(215) 662-2286
(215) 615-0500
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD023242E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011665770001
—
PA
Enumeration date
09/29/2006
Last updated
10/09/2012
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