Provider Demographics
NPI:1932140621
Name:SLOAN, STEPHEN B (MD, FACC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:B
Last Name:SLOAN
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3525
Mailing Address - Country:US
Mailing Address - Phone:215-345-1900
Mailing Address - Fax:215-345-4579
Practice Address - Street 1:315 W STATE ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3525
Practice Address - Country:US
Practice Address - Phone:215-345-1900
Practice Address - Fax:215-345-4579
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-065590L207RC0000X
PAMD065590L207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016977120009Medicaid
PAG74610Medicare UPIN
PA0016977120009Medicaid