Organization
JOEL STEVENS MD FACS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL STEVENS M.D. (PHYSICIAN)
(202) 462-6479
Entity
Organization
Contact information
Practice address
106 IRVING ST NW, SUITE 204, WASHINGTON, DC 20010-2993
(202) 462-6479
(202) 723-3106
Mailing address
106 IRVING ST NW, SUITE 204, WASHINGTON, DC 20010-2993
(202) 462-6479
(202) 723-3106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD6819
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024527900
—
DC
01
—
0569
CAREFIRST BLUECROSS
DC
Enumeration date
10/29/2007
Last updated
11/01/2010
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