Organization
STEPHEN R. DAMM, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROBERT DAMM MD (PRESIDENT)
(301) 776-2818
Entity
Organization
Contact information
Practice address
9811 MALLARD DR, SUITE 220, LAUREL, MD 20708-3143
(301) 776-2818
(301) 369-3409
Mailing address
9811 MALLARD DR, SUITE 220, LAUREL, MD 20708-3143
(301) 776-2818
(301) 369-3409
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D0020680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222
BCBS FEDERAL
MD
01
—
2634SR
BSBSMD
MD
Enumeration date
09/17/2009
Last updated
09/17/2009
Update your record
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