Individual
DR. PHILIP J STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8123
(215) 233-2790
Mailing address
1102 BERGAN RD, ORELAND, PA 19075-2506
(215) 233-2790
(215) 233-9261
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS004703L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022667000
KEYSTONE
PA
01
—
371319
UHC
PA
01
—
57146
AETNA
PA
Enumeration date
09/20/2005
Last updated
08/28/2009
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