Provider Demographics
NPI:1831126721
Name:STOPYRA, GARY A (MD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:A
Last Name:STOPYRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 S CEDAR CREST BLVD
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6202
Mailing Address - Country:US
Mailing Address - Phone:610-402-8140
Mailing Address - Fax:610-402-1691
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-8140
Practice Address - Fax:610-402-1691
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2013-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD066521L207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018846900001Medicaid
PA0018846900001Medicaid
H53008Medicare UPIN