Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD051488L | PA |
NPI | 1003890120 |
---|---|
Provider Name | Dr. Mitchell E Stein |
First Address | Bala Cynwyd, PA 19004-1501 |
Second Address | Bala Cynwyd, PA 19004-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 16/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005377005 | AETNA PPO (01) | PA |
0015305200001 | (05) | PA |
0053224000 | KEYSTONE HEALTH PLAN (01) | PA |
0132145000 | AMERIHEALTH HMO (01) | NJ |
0132145000 | KEYSTONE HEALTH PLAN (01) | NJ |
045799 | PA BLUE SHIELD (01) | NJ |
0683538000 | KEYSTONE HEALTH PLAN (01) | PA |
0706610000 | KEYSTONE HEALTH PLAN (01) | NJ |
10240MD051488L | HEALTH PARTNERS (01) | PA |
1029889 | KEYSTONE MERCY HP (01) | PA |
180022095 | MEDICARE ID TYPE UNSPECIFIED (01) | PA |
2227390 | UNITED HEALTHCARE (01) | NJ |
501249 | PA BLUE SHIELD (01) | PA |
512352 | AETNA HMO (01) | PA |
569045 | AETNA HMO (01) | NJ |
7064403 | (05) | NJ |
7900866 | CIGNA HEALTH PLAN (01) | PA |
A2279 | MEDICARE ID TYPE UNSPECIFIED (01) | PA |
F31287 | (02) | PA |