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NPI Code Detail

MEDICARE: MS. DONNA M STEWART BS

MEDICARE: MS. DONNA M STEWART BS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1790818805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA M STEWART BS
Provider Business Mailing Address
First Line : 502 WINFIELD AVE
Second Line :
City : UPPER DARBY
State : PA
Zip : 19082-2122
Country : US
Telephone Number : 610-734-5794
Fax Number :
Provider Business Practice Location Address
First Line : 112 N BROAD ST
Second Line : 8TH FL
City : PHILADELPHIA
State : PA
Zip : 19102-1510
Country : US
Telephone Number : 215-568-0860
Fax Number : 215-568-0769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ MS. DONNA M STEWART BS” Practice Location

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