Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD047362 | DC |
N | 2080P0205X | Pediatric Endocrinologist | MT219870 | PA |
NPI | 1427402858 |
---|---|
Provider Name | Ashley Stoffers |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2016 |
Last Update Date | 26/06/2020 |