Organization
HEALTH ACCESS NETWORK
Active
Other names
HAN Pediatric Specialist
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) 619-7410
(610) 490-0925
Mailing address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 619-7410
(610) 490-0925
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
MD013629E
PA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD044563L
PA
2080P0006X
Developmental - Behavioral Pediatrics Physician
MD053000L
PA
2080P0201X
Pediatric Allergy/Immunology Physician
MD023651E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888789
PABS
PA
01
—
2753701000
IBC
PA
Enumeration date
02/04/2009
Last updated
02/04/2009
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