Provider Demographics
NPI:1144670399
Name:STENSON, IRENE MARIA (DO)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:MARIA
Last Name:STENSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:IRENE
Other - Middle Name:MARIA
Other - Last Name:MICHAILIDES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:540 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1856
Mailing Address - Country:US
Mailing Address - Phone:215-750-7771
Mailing Address - Fax:
Practice Address - Street 1:540 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1856
Practice Address - Country:US
Practice Address - Phone:215-750-7771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT017205390200000X
PAOS020802207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program