Individual
DR. STEVEN E. MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 CHESTNUT STREET, SUITE 1321, PHILADELPHIA, PA 19107-4310
(215) 955-4730
(215) 503-9188
Mailing address
1015 CHESTNUT STREET, SUITE 1321, PHILADELPHIA, PA 19107-4310
(215) 955-4730
(215) 503-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD036838E
PA
207RX0202X
Medical Oncology Physician
Primary
MD036838E
PA
2080P0207X
Pediatric Hematology & Oncology Physician
MD036838E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001252245
—
PA
05
—
2170108
—
NJ
Enumeration date
07/27/2006
Last updated
07/23/2014
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