Individual
DR. MARY JOANNE BERNADETTE STALLMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
6TH AVENUE & SPRUCE STREET, WEST READING, PA 19611-1428
(610) 988-8059
(610) 988-4242
Mailing address
6TH AVENUE & SPRUCE STREET, WEST READING, PA 19611-1428
(610) 988-8059
(610) 988-4242
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D0052263
MD
2085N0700X
Neuroradiology Physician
Primary
MD441979
PA
2085R0202X
Diagnostic Radiology Physician
D0052263
MD
2085R0204X
Vascular & Interventional Radiology Physician
D0052263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102564535001
—
PA
05
—
110800000 2662043
—
MD
05
—
1883824
—
LA
01
—
3811 0020
CAREFIRST BCBS DC
DC
01
—
5235541
AETNA PPO
MD
01
—
967707
AETNA HMO
MD
01
—
KC46SH
CAREFIRST
MD
Enumeration date
08/22/2005
Last updated
09/12/2012
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