Provider Demographics
NPI:1265431043
Name:ENGLANDER-TURNER, STACEY E (MD)
Entity type:Individual
Prefix:DR
First Name:STACEY
Middle Name:E
Last Name:ENGLANDER-TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 E HAVERFORD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3845
Mailing Address - Country:US
Mailing Address - Phone:610-525-3800
Mailing Address - Fax:610-525-4700
Practice Address - Street 1:940 E HAVERFORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3845
Practice Address - Country:US
Practice Address - Phone:610-525-3800
Practice Address - Fax:610-525-4700
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA067032L207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH07890Medicare UPIN
PA033177Medicare ID - Type Unspecified