Individual
THOMAS E STAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 IDLEWILD AVE, EASTON, MD 21601-3824
(410) 820-8226
(410) 820-8405
Mailing address
510 IDLEWILD AVE, EASTON, MD 21601-3824
(410) 820-8226
(410) 820-8405
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
D0044388
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064071900
—
MD
01
—
CF170013
CAREFIRST
—
Enumeration date
05/27/2005
Last updated
08/11/2016
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