Individual
ANTHONY CHRISTOPHER STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-2000
Mailing address
2500 MARYLAND RD STE 400, WILLOW GROVE, PA 19090-1225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT018719
PA
207RX0202X
Medical Oncology Physician
Primary
OS020804
PA
Other
Enumeration date
06/17/2018
Last updated
11/05/2025
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