Healthcare Provider Details

I. General information

NPI: 1891769493
Provider Name (Legal Business Name): STEVEN MEISTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 JAMESTOWN ST SUITE 107
PHILADELPHIA PA
19128-1751
US

IV. Provider business mailing address

207 N BROAD ST 3RD FLR.
PHILADELPHIA PA
19107-1500
US

V. Phone/Fax

Practice location:
  • Phone: 215-482-1607
  • Fax: 215-482-3768
Mailing address:
  • Phone: 215-462-7100
  • Fax: 215-463-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD012244E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: