Individual
STEPHAN PAVLOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 EASTERN SHORE DR, SALISBURY, MD 21804-5565
(410) 749-8906
(410) 219-5662
Mailing address
400 EASTERN SHORE DR, P.O. BOX 49, SALISBURY, MD 21804-5565
(410) 749-8906
(410) 219-5662
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D41721
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158441300
—
MD
Enumeration date
12/14/2005
Last updated
07/09/2007
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