Individual
STEPHANIE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N WOLFE ST, PHIPPS 579 C, BALTIMORE, MD 21287-8811
(410) 955-7851
(410) 955-7862
Mailing address
600 N WOLFE ST, PHIPPS 579 C, BALTIMORE, MD 21287-8811
(410) 955-7851
(410) 955-7862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03892
MD
Other
Enumeration date
12/18/2008
Last updated
10/12/2017
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