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Contact Information

JILL K STAVALONE, DO
1690 BIG OAK RD
YARDLEY, PA19067-6421
 Phone: 215-493-1750
 Fax: 215-493-1470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JILL K STAVALONE · (Female)

NPI # 1164499778
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/02/2006
Last updated 04/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS009244L
  • PA Medicaid 0017861890012
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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