Individual
STEPHANIE SLASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
92 LANCASTER AVE STE 120, DEVON, PA 19333-1378
(610) 989-2224
(610) 947-1220
Mailing address
92 LANCASTER AVE STE 120, DEVON, PA 19333-1378
(610) 989-2224
(610) 947-1220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057329
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000911074
ANTHEM BLUE CROSS & BLUE SHIELD
OH
Enumeration date
11/24/2014
Last updated
05/31/2024
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