Individual
DR. STEFAN J COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3400 SPRUCE ST, 4 MALONEY, PHILADELPHIA, PA 19104-4238
(267) 582-9388
Mailing address
4111 WALNUT ST, APT 511, PHILADELPHIA, PA 19104-3535
(267) 582-9388
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D99232
MD
390200000X
Student in an Organized Health Care Education/Training Program
MT210916
PA
Other
Enumeration date
06/20/2016
Last updated
01/03/2024
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