Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD069924L | PA |
N | 2086S0105X | Surgery of the Hand | MD069924L | PA |
N | 2251H1200X | Hand | MD069924L | PA |
N | 225XH1200X | Occupational Therapist - Hand | MD069924L | PA |
NPI | 1154358778 |
---|---|
Provider Name | Dr. Stephanie Sweet |
First Address | King Of Prussia, PA 19406-2802 |
Second Address | King Of Prussia, PA 19406-2802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 29/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0300243000 | INDEPENDENCE BLUE CROSS (01) | PA |
200041121 | RAILROAD MEDICARE (01) | PA |
802519 | PENNSYLVANIA BLUE SHIELD (01) | PA |
G89615 | (02) |