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Individual

AMY STUMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
203 HOSPITAL DR, SUITE 304, GLEN BURNIE, MD 21061-6904
(410) 553-8384
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4594
(410) 787-4846

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D65863
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044087600
MD
01
224066ZEZT
MEDICARE
MD
01
309429
KAISER
MD
Enumeration date
02/25/2007
Last updated
10/16/2014
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