| Ala Stanford Md Sole Mbr | |
|
2001 W Lehigh Ave Philadelphia PA 19132-2652 | |
| (844) 423-2362 | |
| (215) 654-3063 |
| Full Name | Ala Stanford Md Sole Mbr |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 W Lehigh Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Cynthia Antoinette Taylor (MANAGER) |
| Authorized Official Contact | 4842706200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ala Stanford Md Sole Mbr 419 Johnson St Jenkintown PA 19046-2705 Ph: (215) 277-5450 | Ala Stanford Md Sole Mbr 2001 W Lehigh Ave Philadelphia PA 19132-2652 Ph: (844) 423-2362 |
| NPI Number | 1194481275 |
|---|---|
| Provider Enumeration Date | 11/12/2021 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 6608262746 |
|---|---|
| Medicare Enrollment ID | O20220330000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194481275 | NPI | - | NPPES |
| Provider Name | Ala Stanford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750394037 PECOS PAC ID: 8729085949 Enrollment ID: I20061101000385 |
| Provider Name | Wendy Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447218771 PECOS PAC ID: 6305032079 Enrollment ID: I20101119000619 |
| Provider Name | Denina A Helm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780659177 PECOS PAC ID: 2264616564 Enrollment ID: I20110412000143 |
| Provider Name | Renell S Dupree |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821409764 PECOS PAC ID: 9335366699 Enrollment ID: I20170726001508 |
| Provider Name | Stephanie C Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861974206 PECOS PAC ID: 1052651221 Enrollment ID: I20190326001281 |
| Provider Name | Jabaris Demond Swain |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265604045 PECOS PAC ID: 8820474042 Enrollment ID: I20220926001540 |
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