MEDICARE: STEPHEN C SENFT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	MD024791E	PA

General Provider Information

NPI Number	:	1497751895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN C SENFT MD

Provider Business Mailing Address
First Line	:	5445 LANARK RD STE 300
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-503-7546
Fax Number	:	833-214-0129

Provider Business Practice Location Address
First Line	:	5445 LANARK RD STE 300
Second Line	:
City	:	CENTER VALLEY
State	:	PA
Zip	:	18034-8694
Country	:	US
Telephone Number	:	484-503-7546
Fax Number	:	833-214-0129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/30/2019

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