Individual
DR. STEPHEN FRASER LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 COMPUTER RD, EXECUTIVE MEWS, SUITE H43, WILLOW GROVE, PA 19090-1752
(215) 659-3500
(215) 659-3556
Mailing address
2300 COMPUTER RD, EXECUTIVE MEWS, SUITE H43, WILLOW GROVE, PA 19090-1752
(215) 659-3500
(215) 659-3556
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD049894L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745048
HIGHMARK BLUE SHIELD
PA
Enumeration date
01/12/2006
Last updated
07/08/2007
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