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Individual

MIRIAM TAMAR STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34TH & CIVIC CENTER BOULEVARD, 9NW55, MAIN HOSPITAL, PHILADELPHIA, PA 19104
(410) 804-1445
Mailing address
4025 LAURISTON ST, PHILADELPHIA, PA 19128-5105

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT202481
PA

Other

Enumeration date
03/02/2010
Last updated
07/19/2012
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