Individual
DR. STEPHEN M SANDELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5030
(215) 707-3494
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-8561
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
C10011479
DE
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD450594
PA
208000000X
Pediatrics Physician
MT198952
PA
Other
Enumeration date
06/18/2011
Last updated
02/28/2017
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