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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
1208000000XPediatrics Physician
22080P0202XPediatric Cardiology Physician

General Provider Information

NPI Number : 1194306068
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 : 484-628-1324
Fax Number : 484-334-7026
Provider Business Practice Location Address
First Line : 1220 BROADCASTING RD STE 100
Second Line :
City : WYOMISSING
State : PA
Zip : 19610-3221
Country : US
Telephone Number : 215-427-4820
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 : 04/21/2021
Last Update Date : 06/02/2026

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Directions to “STC PEDIATRICS LLC ” Practice Location

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