Organization
HEALTH ACCESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES STUCCIO (PRESIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 874-1184
(610) 874-4258
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602983
PA BLUE SHIELD GROUP
PA
Enumeration date
03/28/2007
Last updated
04/28/2010
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