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Individual

RICHARD STANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCS, RVS

Contact information

Practice address
2511 S BROAD ST, PHILADELPHIA, PA 19148-4309
(856) 292-3884
Mailing address
50 PINE ST, SEWELL, NJ 08080-1450
(856) 292-3884

Taxonomy

Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary

Other

Enumeration date
04/06/2017
Last updated
07/07/2017
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