Provider Demographics
NPI:1346458684
Name:STAMPS, JOHN CHARLES (MS, R AC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CHARLES
Last Name:STAMPS
Suffix:
Gender:M
Credentials:MS, R AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:461 SHARON DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2221
Mailing Address - Country:US
Mailing Address - Phone:610-293-1729
Mailing Address - Fax:
Practice Address - Street 1:1049 W LANCASTER AVE
Practice Address - Street 2:2ND. FLOOR
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3012
Practice Address - Country:US
Practice Address - Phone:610-526-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000179L171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist