Stadtmauer, Edward A
Stadtmauer, Edward A is an individual health care provider with primary practice located at 3400 Civic Center Blvd 2 West Pavillion, Philadelphia PA 19104-5127. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Stadtmauer, Edward A can be contacted via phone (215) 615-5858.Contact Information
Primary practice address
3400 Civic Center Blvd 2 West Pavillion
Philadelphia PA 19104-5127
Phone: (215) 615-5858
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD034788E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD034788E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | MD034788E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | MD034788E | Pennsylvania |
Profile Details
| NPI number | 1457394744 |
|---|---|
| LBN Legal business name | Stadtmauer, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Sep 25th, 2019 - about 5 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 | 1457394744 | NPPES |
| Pennsylvania | MEDICAID | 0011083860003 |
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