Individual
ILEANA M. STEPHANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1202 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1234
(215) 710-2100
(215) 710-5861
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA050700
PA
Other
Enumeration date
06/03/2006
Last updated
12/04/2023
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