Individual
STEPHANIE TANNER WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 MEDICAL CENTER BLVD, POB1, SUITE 205, CROZER PEDIATRICS, CHESTER, PA 19013-3955
(610) 619-7410
(610) 876-8483
Mailing address
1 MEDICAL CENTER BLVD OFC, 3 EAST RESIDENCY OFFICE, CHESTER, PA 19013-3902
(610) 447-6682
(610) 447-6677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA10143800
NJ
208000000X
Pediatrics Physician
C1-0012210
DE
208000000X
Pediatrics Physician
Primary
MD462124
PA
Other
Enumeration date
06/16/2014
Last updated
03/17/2018
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