Stanford Pediatric Surgery, LLC
Stanford Pediatric Surgery, LLC is a Surgery Physician in Jenkintown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.
- Licensed in
- PA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
419 Johnson StJenkintown, PA 19046-2705
Phone: (215) 792-2058
Fax: (215) 754-4295
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Surgery Physician (primary) | Taxonomy 2086S0120X · Licence MD419738 (PA) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence MD419738 (PA) |
Record details
| NPI number | 1922524123 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ala Stanford — Founder/Director · (215) 817-8683 |
| NPI enumerated | August 18, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | Archways Professional Building, 419 Johnson Street, Jenkintown, PA 19046-2705 |