OrganizationActive
Stanford Pediatric Surgery, LLC
NPI 1922524123 · Pediatric Surgery Physician · Jenkintown, PA
Provider details
- NPI number
- 1922524123
- Entity type
- Organization
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ala Stanford, Founder/Director(215) 817-8683
- License
- MD419738 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
419 Johnson St
Jenkintown, PA 19046-2705
Phone: (215) 792-2058
Fax: (215) 754-4295
Approximate (ZIP-level) locationGet directions
Mailing address
Archways Professional Building
Jenkintown, PA 19046-2705
Registry dates
- Enumerated
- 2017-08-18
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.