Individual
MR. CONNOR JOHN STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(215) 871-6646
Mailing address
4190 CITY AVE, PHILADELPHIA, PA 19131-1626
(610) 564-1492
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
04/22/2024
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