MEDICARE: TODD M STEFAN MD

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	208600000X	Surgery Physician	MD-067249L	PA
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	MD067249L	PA
3	2086S0129X	Vascular Surgery Physician	MD067249L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477521391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD M STEFAN MD

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 HOSPITAL DR STE 100
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-9394
Country	:	US
Telephone Number	:	570-524-5056
Fax Number	:	570-524-5061

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	01/14/2026

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