Individual
DR. STEPHEN F STANZIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 520, ANNAPOLIS, MD 21401-3046
(410) 573-6480
(410) 573-7981
Mailing address
106 IRVING ST NW, SUITE 2700N, WASHINGTON, DC 20010-2927
(202) 723-5524
(202) 291-0512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066M
GROUP MEDICARE NO.
MD
01
—
066MP045
INDIV MEDICARE
MD
01
—
409629
MEDICARE GROUP
DC
05
—
411533300
—
MD
01
—
CD0361
RAILROAD MEDICARE GROUP N
—
Enumeration date
06/16/2006
Last updated
12/08/2010
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