Individual
JOHN STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3110 GRACEFIELD RD, SILVER SPRING, MD 20904-1820
(301) 572-8340
(301) 572-8403
Mailing address
701 MAIDEN CHOICE LN, CATONSVILLE, MD 21228-5968
(301) 572-8340
(301) 572-8403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0023649
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035
CAREFIRST BCBS
—
05
—
008203102
—
MD
01
—
0943ER-364760-04
CAREFIRST BCBS OF MD
—
01
—
0943SE-364760-04
CAREFIRST BCBS OF MD
—
05
—
329131602
—
MD
01
—
364760-04
BCBS
MD
01
—
404843
EVERCARE
—
01
—
9680-0041
CAREFIRST BCBS OF DC
—
01
—
P16087
MPOS
—
Enumeration date
07/07/2006
Last updated
07/16/2009
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