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1467680769
STACY BETH ELLEN
PHILADELPHIA, PA
NPI
1467680769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: PA OS016136)
Enumeration Date
2009-06-24
Last Update Date
2024-05-21
Business Address
STACY BETH ELLEN DO
160 E ERIE AVE
PHILADELPHIA, PA 19134-1011
Phone number: 215-427-5000
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Mailing Address
STACY BETH ELLEN DO
PO BOX 13579
READING, PA 19612-3579
Phone number: 484-628-1324
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