Provider Demographics
NPI:1629038617
Name:LEWIN, STANLEY B (MD)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:B
Last Name:LEWIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:875 POPLAR CHURCH ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2203
Mailing Address - Country:US
Mailing Address - Phone:717-441-1725
Mailing Address - Fax:717-441-1717
Practice Address - Street 1:875 POPLAR CHURCH ROAD
Practice Address - Street 2:SUITE 300
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2203
Practice Address - Country:US
Practice Address - Phone:717-441-1725
Practice Address - Fax:717-441-1717
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2022-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD021061E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B32123Medicare UPIN
B32123Medicare UPIN