Individual
STELLA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 706-7464
(410) 706-4078
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 706-7464
(410) 706-4078
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D71506
MD
207RP1001X
Pulmonary Disease Physician
Primary
D71506
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420339900
—
MD
01
—
S062-0413
CAREFIRST BC/BS
MD
Enumeration date
01/26/2007
Last updated
03/07/2016
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