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NPI Code Detail

MEDICARE: STC PEDIATRICS LLC

MEDICARE: STC PEDIATRICS LLC
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1164066502
Entity Type Code : Organization
Provider Name (Legal Business Name) : STC PEDIATRICS LLC
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number : 610-743-6049
Fax Number :
Provider Business Practice Location Address
First Line : 153 BRODHEAD RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-8931
Country : US
Telephone Number : 610-954-4975
Fax Number :
Authorized Official
Title or Position : VP OF REVENUE INTEGRITY
Name : CHARLES MICHAEL VALENTINO JR.
Credential :
Telephone Number : 484-628-9380
Provider Enumeration Date : 10/29/2019
Last Update Date : 06/02/2026

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1386288744 — STC PEDIATRICS LLC
Practice Location Address:
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Directions to “STC PEDIATRICS LLC ” Practice Location

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