Provider Demographics
NPI:1376572206
Name:STELLA, MARTA R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:R
Last Name:STELLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:R
Other - Last Name:STELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:420 W LINFIELD TRAPPE RD
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:PA
Mailing Address - Zip Code:19468-4278
Mailing Address - Country:US
Mailing Address - Phone:484-659-0111
Mailing Address - Fax:610-495-5123
Practice Address - Street 1:420 W LINFIELD TRAPPE RD
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-4278
Practice Address - Country:US
Practice Address - Phone:484-659-0111
Practice Address - Fax:610-495-5123
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4217592084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001953910Medicaid
PA105537OtherJOHNS HOPKINS
PA1469154OtherHIGHMARK BLUE SHIELD
PA1530748OtherGATEWAY-WMG
PA20022584OtherAMERIHEALTH MERCY-WMG
PAP00025378OtherRAILROAD MEDICARE
PA2116067OtherMAMSI-WMG
PA618958OtherCAREFIRST MD BCBS
PA7646887OtherAETNA
PA93002OtherGEISINGER
PA141402OtherUNISON-WMG
PA50011049OtherCAPITAL BLUE CROSS-WMG
PA141402OtherUNISON-WMG
PA618958OtherCAREFIRST MD BCBS