Individual
DR. STEWART COOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331EAST WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 743-3784
(215) 743-3781
Mailing address
1331EAST WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 743-3784
(215) 743-3781
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD036325L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006112120002
—
PA
01
—
0047040
AETNA
PA
01
—
0061121201
AMERICHOICE OF PA
PA
01
—
025627
IBC
PA
01
—
03512
HEALTH PARTNERS
PA
01
—
1043624
KEYSTONE MERCY HEALTH PLA
PA
01
—
6136616
CIGNA
PA
Enumeration date
06/23/2006
Last updated
03/05/2008
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