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Organization

G. WINSTON STUBBS M.D., LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. G. WINSTON STUBBS M.D. (PRESIDENT)
(215) 248-2660
Entity
Organization

Contact information

Practice address
8121 STENTON AVE # B, PHILADELPHIA, PA 19150-3530
(215) 248-2660
(215) 248-5336
Mailing address
8121 STENTON AVE # B, PHILADELPHIA, PA 19150-3530
(215) 248-2660
(215) 248-5336

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
MD016469E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0742475
PA
Enumeration date
04/17/2007
Last updated
07/07/2008
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