Organization
TEHAN, NARDI & STANTON UROLOGY CENTER CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH STANTON MD. (PHYSICIAN)
(301) 493-2505
Entity
Organization
Contact information
Practice address
10215 FERNWOOD RD STE 630, BETHESDA, MD 20817-1184
(301) 493-2505
Mailing address
12 FAIRWAY IS, GRASONVILLE, MD 21638-9630
(410) 827-9455
(410) 827-7161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0022953
MD
Other
Enumeration date
10/17/2006
Last updated
10/24/2007
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