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NPI Code Detail

MEDICARE: DAVID ANTHONY STEWART MD

MEDICARE: DAVID ANTHONY STEWART 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
12084N0400XNeurology PhysicianMD489071PA

General Provider Information

NPI Number : 1821676149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ANTHONY STEWART MD
Provider Business Mailing Address
First Line : 3509 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19140-4105
Country : US
Telephone Number : 215-707-9211
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 : 215-707-3040
Fax Number : 215-707-8235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 04/10/2026

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