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Individual

DR. GRETA J. STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1412 FAIRMOUNT AVE, PHILADELPHIA, PA 19130-2908
(215) 235-9600
(215) 232-4093
Mailing address
1412-22 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2908
(215) 684-5344
(215) 232-4093

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009710L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1729941
PA
Enumeration date
11/21/2005
Last updated
09/24/2021
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