Stacie B Peddy M.D.

NPI 1700805090 - Pediatrics - 208000000X

NPI Details
NPI 1700805090
Gender Female
Enumeration Date 07/18/2006
Last Updated 04/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
34TH STREET AND CIVIC CENTER BLVD
SUITE 9329
PHILADELPHIA PA, 19104-4399, US
Phone (215) 590-1858
Fax (215) 590-3934
Business Location
100 EAST PENN SQUARE
THE WANAMAKER BUILDING, 9TH FLOOR
PHILADELPHIA PA, 19107-3323, US
Phone (267) 425-9300
Fax (267) 425-9331
Toxanomy
Taxonomy Code 208000000X
License State Pennsylvania
License Number MD426570
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According to our database, Stacie B Peddy M.D. NPI is 1700805090, taxonomy code is 208000000X and license number is MD426570, license state is located at Pennsylvania. Stacie B Peddy M.D. physically located at 34th Street And Civic Center Blvd, Philadelphia PA, 19104-4399. NPI Number Stacie B Peddy M.D. has the Individual type.

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1700805090 NPI number is provided on an as is basis without warranty of any kind. 1700805090 is maintained by the National Plan & Provider Enumeration System. The contents of Stacie B Peddy M.D. are for informational purposes only.