Basic Information
Provider Information
NPI: 1578841243
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STINSON
FirstName: HANNAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E PENN SQUARE
Address2: WANAMAKER BLDG., 9TH FL. N
City: PHILADELPHIA
State: PA
PostalCode: 191073323
CountryCode: US
TelephoneNumber: 2674259300
FaxNumber: 2674259331
Practice Location
Address1: 3401 CIVIC CENTER BLVD STE 9329
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191044319
CountryCode: US
TelephoneNumber: 2155901858
FaxNumber: 2155901415
Other Information
ProviderEnumerationDate: 07/29/2011
LastUpdateDate: 07/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XC10011733DEN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XMD457836PAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0203XC10011733DEN Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2080P0203XMD457836PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine

No ID Information.


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