Organization
DR ALA STANFORD CENTER FOR HEALTH EQUITY
Active
Other names
Dr Ala Stanford Center For Health Equity - NE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA ANTOINETTE TAYLOR (DIRECTOR OF OPERATIONS)
(484) 270-6200
Entity
Organization
Contact information
Practice address
7979 STATE RD, PHILADELPHIA, PA 19136-3407
(484) 270-6200
(484) 270-6200
Mailing address
2001 W LEHIGH AVE, PHILADELPHIA, PA 19132-2652
(484) 270-6200
(484) 270-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104112213-0001
—
PA
Enumeration date
01/01/2025
Last updated
01/01/2025
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