Individual
STEPHEN J STANIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 S HANOVER ST, BALTIMORE, MD 21225-1232
(410) 350-3886
Mailing address
2900 S HANOVER ST, BALTIMORE, MD 21225-1232
(410) 350-3886
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0004850
MD
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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