Provider Demographics
NPI:1194268763
Name:STILES, RAYMOND ANDREW
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:ANDREW
Last Name:STILES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COLTEN DR
Mailing Address - Street 2:
Mailing Address - City:COCHRANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19330-9400
Mailing Address - Country:US
Mailing Address - Phone:484-354-3424
Mailing Address - Fax:
Practice Address - Street 1:3 COLTEN DR
Practice Address - Street 2:
Practice Address - City:COCHRANVILLE
Practice Address - State:PA
Practice Address - Zip Code:19330-9400
Practice Address - Country:US
Practice Address - Phone:484-354-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer