Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Pulmonary - Jenkintown
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAYME (EVP & CFO)
(484) 628-1324
Entity
Organization
Contact information
Practice address
500 YORK RD STE 250, JENKINTOWN, PA 19046-2870
(215) 572-5300
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037317900063
—
PA
Enumeration date
11/01/2019
Last updated
11/06/2025
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