Basic Information
Provider Information
NPI: 1336350891
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STENGER
FirstName: ELIZABETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
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Mailing Information
Address1: 1242 BRIAR HILLS DR NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303062206
CountryCode: US
TelephoneNumber: 4129019373
FaxNumber:  
Practice Location
Address1: 4401 PENN AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152241334
CountryCode: US
TelephoneNumber: 4126925055
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/25/2007
LastUpdateDate: 01/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0207XMD437356PAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology

No ID Information.


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