Stephanie Tanner Walsh, MD | |
30 Medical Center Blvd, Pob1, Suite 205, Crozer Pediatrics, Chester, PA 19013-3955 | |
(610) 619-7410 | |
(610) 876-8483 |
Full Name | Stephanie Tanner Walsh |
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Gender | Female |
Speciality | Pediatrics |
Location | 30 Medical Center Blvd, Chester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518371756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25MA10143800 (New Jersey) | Secondary |
208000000X | Pediatrics | C1-0012210 (Delaware) | Secondary |
208000000X | Pediatrics | MD462124 (Pennsylvania) | Primary |
Entity Name | Nemours New Jersey Physician Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265874713 PECOS PAC ID: 4486871159 Enrollment ID: O20140805000413 |
Mailing Address | Practice Location Address |
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Stephanie Tanner Walsh, MD 1 Medical Center Blvd Ofc, 3 East Residency Office, Chester, PA 19013-3902 Ph: (610) 447-6682 | Stephanie Tanner Walsh, MD 30 Medical Center Blvd, Pob1, Suite 205, Crozer Pediatrics, Chester, PA 19013-3955 Ph: (610) 619-7410 |
Dr. Helen Mccarthy, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Pob1, Suite402, Chester, PA 19013 Phone: 610-447-6680 Fax: 610-447-6677 | |
Anjali Srivastava, M.D., M.B.A. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, Pob 1, Suite 205, Chester, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Shobhana Sathish, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Pob1 Suite 402, Chester, PA 19013 Phone: 610-447-6680 Fax: 610-447-6677 | |
Mrs. Ashley Nicole Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Medical Center Boulevard, Suite #205, Chester, PA 19013 Phone: 610-619-7410 | |
Amber Christine Baisz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Medical Center Blvd, Crozer Pediatrics, 1 Pob, Suite 205, Chester, PA 19013 Phone: 610-619-7410 Fax: 610-876-8483 | |
Salud Urtula Tiro, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 125 E 9th St, Chester, PA 19013 Phone: 610-872-6131 Fax: 610-872-5128 | |
Dr. Ashwini Mallappa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Pob1, Suite 402, Chester, PA 19013 Phone: 610-447-6680 Fax: 610-447-6677 |