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NPI Code Detail

MEDICARE: STEPHANIE SOROKA

MEDICARE: STEPHANIE SOROKA
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
1363L00000XNurse PractitionerSP033646PA

General Provider Information

NPI Number : 1588536866
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE SOROKA
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number : 215-707-2433
Fax Number :
Provider Business Practice Location Address
First Line : 3401 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-5103
Country : US
Telephone Number : 215-707-1407
Fax Number : 215-707-8298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 02/02/2026

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Directions to “ STEPHANIE SOROKA ” Practice Location

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