Individual
DR. MARY A STEFANYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST, WYNNEWOOD, PA 19096-3450
(610) 649-1970
Mailing address
100 E LANCASTER AVE, SUITE 256 MEDICAL BLDG EAST, WYNNEWOOD, PA 19096-3450
(610) 649-1970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD022299E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0885754
—
PA
Enumeration date
07/20/2005
Last updated
07/02/2008
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