Individual
DR. ELLIOTT MARTIN STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 MIDVALE WAY, MILL VALLEY, CA 94941-3705
(156) 729-3524
Mailing address
535 MIDVALE WAY, MILL VALLEY, CA 94941-3705
(415) 672-9352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G27964
CA
2084P0800X
Psychiatry Physician
ME 30436
FL
2084P0805X
Geriatric Psychiatry Physician
Primary
G27964
CA
2084P0805X
Geriatric Psychiatry Physician
ME 30436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059518700
—
FL
01
—
92798
BLUE CROSS/BLUE SHIELD FL
FL
Enumeration date
05/04/2006
Last updated
03/12/2021
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