Individual
DR. STEPHEN M PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1259 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6206
(610) 437-4134
(610) 770-0993
Mailing address
1259 S CEDAR CREST BLVD, SUITE 100, ALLENTOWN, PA 18103-6206
(610) 437-4134
(610) 770-0993
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS006433E
PA
207NS0135X
Procedural Dermatology Physician
OS006433E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02343000
CAPITAL BLUE CROSS
PA
01
—
172424
HIGHMARK
PA
Enumeration date
10/04/2005
Last updated
08/05/2020
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