Organization
STC PEDIATRICS LLC
Active
Other names
St. Christopher's Pediatric Associates Otolaryngology - E. Erie Aven
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EHINGER (SR VP FINANCIAL OPERATIONS)
(484) 628-4681
Entity
Organization
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8915
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/31/2019
Last updated
05/10/2022
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