Individual
DR. FRAY DYLAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, HARVEY 319, BALTIMORE, MD 21287-0005
(410) 955-2960
(410) 502-5314
Mailing address
600 N WOLFE ST, HARVEY 319, BALTIMORE, MD 21287-0005
(410) 955-2960
(410) 502-5314
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0053844
MD
2086S0120X
Pediatric Surgery Physician
Primary
D53844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103
CAREFIRST
MD
05
—
061401700
—
MD
01
—
1701493
UNITED HLTHCARE
MD
01
—
2138547
MDIPA
MD
01
—
2210485
UNITED HLTHCARE NATIONAL
MD
01
—
252812
KAISER
MD
01
—
60645101
BLUE SHIELD
MD
Enumeration date
07/27/2006
Last updated
03/13/2012
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