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STEVEN GERALD PROSHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2002 MEDICAL PARKWAY, SUITE 360, ANNAPOLIS, MD 21401
(410) 573-1699
(410) 573-5311
Mailing address
2002 MEDICAL PARKWAY, SUITE 360, ANNAPOLIS, MD 21401
(410) 573-1699
(410) 573-5311

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0056357
MD
208C00000X
Colon & Rectal Surgery Physician
Primary
D0056357
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75440001
BSDC
01
KCT5
BSMD
Enumeration date
09/25/2006
Last updated
10/17/2007
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