MEDICARE: STEPHANIE A. CROSS 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	2084P0800X	Psychiatry Physician	MD455314	PA

General Provider Information

NPI Number	:	1942645783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE A. CROSS MD

Provider Business Mailing Address
First Line	:	255 S 17TH ST STE 1608
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6216
Country	:	US
Telephone Number	:	267-270-5365
Fax Number	:	877-991-3132

Provider Business Practice Location Address
First Line	:	255 S 17TH ST STE 1608
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-6216
Country	:	US
Telephone Number	:	267-270-5365
Fax Number	:	877-991-3132

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

Provider Enumeration Date	:	05/07/2013
Last Update Date	:	11/19/2025

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Directions to “ STEPHANIE A. CROSS MD” Practice Location

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