Individual
DR. STEPHEN J NOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVENUE, LAPIDUS CANCER INSTITUTE, BALTIMORE, MD 21215
(410) 601-4710
(410) 601-8448
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D41360
MD
207RX0202X
Medical Oncology Physician
Primary
D41360
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC3778
R/R MEDICARE GROUP #
MD
Enumeration date
06/14/2006
Last updated
11/29/2007
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