Stc Opco LLC
NPI #1942846761 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1942846761
- Entity Type
- Organization
- Organization Name
- Stc Opco LLC
- Primary Specialty
- Pediatrics - Clinical & Laboratory Immunology
- Enumeration Date
- Nov 27, 2019
- Last Updated
- Jan 2, 2020
Practice Location
- Address
- 160 E ERIE AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19134-1011
- Phone
- (215) 427-5000
Authorized Official
- Name
- GARY CONNER
- Title
- VP & CFO
- Phone
- (484) 628-8181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Allergy & Immunology |
| Internal Medicine - Allergy & Immunology — Allergy & Immunology |
| Pediatrics - Clinical & Laboratory Immunology — Clinical & Laboratory Immunology |
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| David B Cooperberg, MD | |
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| Maureen Byrne, CRNA | |
| Eliot M Wallack, MD |
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