MEDICARE: DR. STEPHEN P ALVARADO M.D.

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
1	208000000X	Pediatrics Physician	ME0093163	FL
2	208000000X	Pediatrics Physician	MD447565	PA

General Provider Information

NPI Number	:	1255330999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN P ALVARADO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 783311
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-3311
Country	:	US
Telephone Number	:	484-884-4500
Fax Number	:	484-884-0699

Provider Business Practice Location Address
First Line	:	1611 POND RD
Second Line	:	SUITE 400
City	:	ALLENTOWN
State	:	PA
Zip	:	18104-2258
Country	:	US
Telephone Number	:	610-395-4300
Fax Number	:	610-530-9372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	02/01/2017

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