Healthcare Provider Details

I. General information

NPI: 1265469597
Provider Name (Legal Business Name): LINDA STALLINGS SYKES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 E HAVERFORD RD
BRYN MAWR PA
19010-3819
US

IV. Provider business mailing address

933 E HAVERFORD RD
BRYN MAWR PA
19010-3819
US

V. Phone/Fax

Practice location:
  • Phone: 610-527-3800
  • Fax: 610-527-0334
Mailing address:
  • Phone: 610-527-3800
  • Fax: 610-527-0334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD-016352-E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: