Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD433802 | PA |
NPI | 1033279955 |
---|---|
Provider Name | Stephen David Hess |
First Address | Philadelphia, PA 19102-3523 |
Second Address | Philadelphia, PA 19102-3523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 23/08/2013 |