Stutman, Fred

Stutman, Fred is an individual health care provider with primary practice located at 3501 Newberry Rd , Phila PA 19154-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stutman, Fred can be contacted via phone (215) 632-1400.

Contact Information

Primary practice address
3501 Newberry Rd Phila PA 19154-2608
Phone: (215) 632-1400
Fax: (215) 632-2176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD007124E Pennsylvania

Profile Details

NPI number 1780660316
LBN Legal business name Stutman, Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Oct 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780660316 NPPES
Pennsylvania MEDICAID 000612309
Pennsylvania Other 0047315
Pennsylvania Other P00208191
Pennsylvania Other 597586
Pennsylvania Other 1081468
Pennsylvania Other 714
Pennsylvania Other 0058304000
Pennsylvania Other 016618
Pennsylvania Other 2Y0397
Pennsylvania Other 4076190
Pennsylvania Other P495461

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