Organization
JAY D STEVENS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D STEVENS MD (PRESIDENT)
(814) 437-1312
Entity
Organization
Contact information
Practice address
150 PROSPECT AVE, FRANKLIN, PA 16323-2542
(814) 437-1312
(814) 437-6974
Mailing address
150 PROSPECT AVE, FRANKLIN, PA 16323-2542
(814) 437-1312
(814) 437-6974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD419425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1665644
BLUE CROSS BLUE SHIELD
PA
01
—
DF8357
RAILROAD MEDICARE
PA
Enumeration date
01/24/2007
Last updated
06/28/2010
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