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Individual

DR. MARTHA W STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1800 ORLEANS ST # G-1509, HOSPITAL BASED @ JHH-BLOOMBERG CHILDREN'S CENTER, BALTIMORE, MD 21287-0010
(410) 955-6146
(410) 614-7339
Mailing address
1800 ORLEANS ST # G-1509, HOSPITAL BASED @ JHH-BLOOMBERG CHILDREN'S CENTER, BALTIMORE, MD 21287-0010
(410) 955-6146
(410) 614-7339

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
D0044281
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003000261Q
HUMANA
01
219021401
MEDICAID INDIVIDUAL #
MD
01
257368Y18
PTAN
MD
05
766621700
MD
01
781700401914
CCN
MD
Enumeration date
05/26/2006
Last updated
04/19/2017
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