Individual
STEPHEN R GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
216 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 762-3900
(215) 762-4721
Mailing address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD065672L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001709401
—
PA
05
—
6665306
—
NJ
Enumeration date
12/27/2005
Last updated
11/20/2014
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