Individual
JASON WILLIAM STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 E ANTIETAM ST, SUITE 106, HAGERSTOWN, MD 21740-5794
(301) 739-6144
Mailing address
3004 ANNAS TER, FREDERICK, MD 21701-9333
(412) 527-9301
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
22348
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414817700
—
MD
Enumeration date
05/30/2007
Last updated
05/14/2009
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