Fuller, Stephanie
Fuller, Stephanie is an individual health care provider with primary practice located at 34Th & Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4399. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Fuller, Stephanie can be contacted via phone (215) 590-2708.Contact Information
Primary practice address
34Th & Civic Center Blvd Children'S Hospital Of Philadelphia
Philadelphia PA 19104-4399
Phone: (215) 590-2708
Fax: (215) 590-2715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD420734 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD420734 | Pennsylvania |
Profile Details
| NPI number | 1013115930 |
|---|---|
| LBN Legal business name | Fuller, Stephanie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2007 |
| Last updated | Apr 11th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013115930 | NPPES |
| Pennsylvania | MEDICAID | 100743887-0030 |
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