Individual
STEFANIE S SHOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3737 MARKET ST, 6TH FLOOR, PHILADELPHIA, PA 19104-5545
(215) 662-3340
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-02011
NC
363AS0400X
Surgical Physician Assistant
Primary
MA054459
PA
Other
Enumeration date
10/01/2009
Last updated
09/13/2021
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