Individual
STEPHEN H SINCLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E STATE ST, SUITE 301, MEDIA, PA 19063-3434
(610) 892-1708
(610) 892-7866
Mailing address
200 E STATE ST, SUITE 301, MEDIA, PA 19063-3434
(610) 892-1708
(610) 892-7866
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C10004246
DE
207W00000X
Ophthalmology Physician
Primary
MD022777E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015279550001
—
PA
01
—
0053177000
KEYSTONE INDIVIDULE ID #
PA
01
—
0794182000
KEYSTONE GROUP ID
PA
01
—
119503
BLUE CROSS BLUE SHIELD
PA
01
—
31188
AETNA US HEALTHCARE
PA
01
—
7016527003
CIGNA
PA
01
—
A19503
AMERIHEALTH
PA
Enumeration date
03/15/2006
Last updated
12/12/2014
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