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Individual

STEPHEN W TIFFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
51 PETERS ROAD, SUITE 202, LITITZ, PA 17543-7685
(717) 569-6481
(717) 569-5213
Mailing address
1570 FRUITVILLE PIKE, LANCASTER, PA 17601-4056
(717) 569-6481
(717) 569-5213

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD019948E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006619300001
PA
05
0006619300003
PA
01
01653801
CAPITAL BLUE CROSS
PA
01
1142862
AMERIHEALTH MERCY HEALTH
PA
01
153461
HIGHMARK BLUE SHIELD
PA
01
43413 S1BX
GEISINGER HEALTH PLAN
PA
01
4471404
AETNA NON-HMO
PA
01
539900
AETNA NON-HMO
PA
01
B40046
HEALTH ASSURANCE
PA
01
P002656
GATEWAY HEALTH PLAN
PA
Enumeration date
02/22/2006
Last updated
03/25/2025
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