Healthcare Provider Details

I. General information

NPI: 1811967110
Provider Name (Legal Business Name): STEIN SLOANE MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 E WYOMING AVE SUITE 2160
PHILADELPHIA PA
19124-3808
US

IV. Provider business mailing address

1331 E WYOMING AVE SUITE 2160
PHILADELPHIA PA
19124-3808
US

V. Phone/Fax

Practice location:
  • Phone: 215-537-7695
  • Fax: 215-537-7001
Mailing address:
  • Phone: 215-537-7695
  • Fax: 215-537-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD029921E
License Number StatePA

VIII. Authorized Official

Name: DR. NEIL EDWARD SLOANE
Title or Position: OWNER
Credential: M.D.
Phone: 215-537-7695