Individual
DR. STEPHEN A LIVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, DEPT OF PEDIATRICS, BALTIMORE, MD 21204-6808
(443) 849-2792
Mailing address
PO BOX 631568, BALTIMORE, MD 21263-1568
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D36680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105895
HOPKINS EHP & PP
MD
01
—
2120199
MAMSI
MD
01
—
2121615
AETNA HMO
MD
01
—
34114
KAISER PERM
MD
01
—
47-00503
UHC AMERICHOICE
MD
01
—
5453449
AETNA NON HMO
MD
01
—
72584
AMERIGROUP
MD
01
—
KJ50GB/52005204
CAREFIRST MARYLAND
MD
01
—
S139/0028
CAREFIRST REGIONAL
MD
Enumeration date
07/27/2006
Last updated
07/24/2007
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