Individual
DR. STEPHANIE ANN KUBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2549
Mailing address
3401 CIVIC CENTER BLVD # M975, PHILADELPHIA, PA 19104-4319
(908) 642-4130
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MC481173
PA
Other
Enumeration date
05/02/2016
Last updated
10/02/2023
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