Individual
DR. STEPHEN M OLEXO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MEDICAL PKWY, SUITE 607, BALTIMORE, MD 21264-4916
(410) 266-1644
(410) 266-1642
Mailing address
2000 MEDICAL PKWY, SUITE 607, BALTIMORE, MD 21264-4916
(410) 266-1644
(410) 266-1642
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D0058510
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269900101 400095100
—
MD
01
—
CL4599 110242506
RR MEDICARE
MD
01
—
KJ86AN 61598701
CAREFIRST BCBS
MD
01
—
S3520008
CAREFIRST BCBS
DC
Enumeration date
10/13/2005
Last updated
05/19/2011
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