Individual
DR. STEFANIE L DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34TH & CIVIC CENTER BLVD, THE CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104-4306
(215) 590-2791
(215) 590-4325
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3326
(267) 425-9538
(267) 425-9552
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0421384
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100952420
—
PA
Enumeration date
10/13/2006
Last updated
03/13/2013
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