| Doctor Name: | JILDA ANN STOWE |
| NPI Number: | 1073824132 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA054256 |
| Business Practice Address: | 830 Old Lancaster Rd Suite 210 Bryn Mawr, PA - 190103118 |
| Business Phone Number: | 6105271600 |
| Business Fax Number: | 6105270824 |
| Mailing Address: | 830 Old Lancaster Rd, Suite 210 BRYN MAWR |
| State: | PA |
| Postal Code: | 190103118 |
| Phone Number: | 6105271600 |
| Fax Number: | 6105270824 |
| NPI Enumeration Date: | 06/23/2010 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | MA054256 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |