John R Stanley, MD | |
3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-5127 | |
(215) 662-2737 | |
(215) 615-3424 |
Full Name | John R Stanley |
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Gender | Male |
Speciality | Dermatology |
Location | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982629556 | NPI | - | NPPES |
00163494600Z | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD054336L (Pennsylvania) | Primary |
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | MD054336L (Pennsylvania) | Secondary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
John R Stanley, MD 421 Curie Blvd, 100 Brb, Philadelphia, PA 19104-4863 Ph: (215) 898-3240 | John R Stanley, MD 3400 Civic Center Blvd, 1-330s Perelman Center, Philadelphia, PA 19104-5127 Ph: (215) 662-2737 |
Dr. Nicholas Kian Mollanazar, MD, MBA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 2 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-7366 | |
Dr. Melinda Jen, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3550 Market St Fl 2, Children's Hospital Of Philadelphia - Dermatology Div, Philadelphia, PA 19104 Phone: 215-590-9119 Fax: 215-590-4948 | |
Vanessa Ayumi London, MD, MS Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9501 Roosevelt Blvd, Suite 508, Philadelphia, PA 19114 Phone: 215-464-7400 Fax: 215-464-8680 | |
Stephen David Hess, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1500 Walnut St, Suite 1240, Philadelphia, PA 19102 Phone: 267-687-4437 | |
Dr. Douglas Kligman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8815 Germantown Ave, Suite 30, Philadelphia, PA 19118 Phone: 215-242-4680 Fax: 215-242-3938 | |
Shobana Sood, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 2 Rhoads Pavilion, Philadelphia, PA 19104 Phone: 215-662-2737 Fax: 215-349-8339 | |
Juliana Kim Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3600 Spruce St, 2 Maloney Bldg, Philadelphia, PA 19104 Phone: 215-662-6151 |