MEDICARE: STEIN SLOANE MEDICAL ASSOCIATES

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	207V00000X	Obstetrics & Gynecology Physician	MD029921E	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	:	1811967110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEIN SLOANE MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	1331 E WYOMING AVE
Second Line	:	SUITE 2160
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3808
Country	:	US
Telephone Number	:	215-537-7695
Fax Number	:	215-537-7001

Provider Business Practice Location Address
First Line	:	1331 E WYOMING AVE
Second Line	:	SUITE 2160
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-3808
Country	:	US
Telephone Number	:	215-537-7695
Fax Number	:	215-537-7001

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NEIL EDWARD SLOANE
Credential	:	M.D.
Telephone Number	:	215-537-7695

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/17/2007

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