Individual
DR. SEAN KENDRIC STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1483
(301) 754-7500
Mailing address
12256 FREDERICK RD, ELLICOTT CITY, MD 21042-1049
(410) 531-1538
(410) 531-2012
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0062855
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409555300
—
MD
Enumeration date
06/23/2006
Last updated
11/13/2007
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