Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD425334 | PA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD425334 | PA |
NPI | 1538193156 |
---|---|
Provider Name | Stephanie Marie Molden |
First Address | Newtown, PA 18940-4500 |
Second Address | Newtown, PA 18940-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 16/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03233300 | CAPITAL BLUE CROSS (01) | PA |
1084443 | AETNA (01) | PA |
1360068 | HIGHMARK BLUE SHIELD (01) | PA |
2052999000 | INDEPENDENCE BLUE CROSS (01) | PA |
P00426292 | RAILROAD MEDICARE (01) | PA |