Stanley, John R

Stanley, John R is an individual health care provider with primary practice located at 3400 Civic Center Blvd 1-330S Perelman Center, Philadelphia PA 19104-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stanley, John R can be contacted via phone (215) 662-2737.

Contact Information

Primary practice address
3400 Civic Center Blvd 1-330S Perelman Center Philadelphia PA 19104-5127
Phone: (215) 662-2737
Fax: (215) 615-3424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD054336L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X MD054336L Pennsylvania

Profile Details

NPI number 1982629556
LBN Legal business name Stanley, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Nov 9th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982629556 NPPES
Pennsylvania MEDICAID 00163494600Z

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