Individual
COURTNEY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
111 S 11TH ST STE 2170, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Mailing address
111 S 11TH ST STE 2170, PHILADELPHIA, PA 19107-4824
(215) 955-6000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MT231990
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2024
Last updated
07/19/2024
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