Individual
STEPHAN ROBERT IZZI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7575 RITCHIE HWY, GLEN BURNIE, MD 21061-8951
(410) 766-1444
(410) 766-9453
Mailing address
7575 RITCHIE HWY, GLEN BURNIE, MD 21061-8951
(410) 766-1444
(410) 766-9453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0025782
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41551201
BSMD
MD
Enumeration date
08/09/2005
Last updated
07/08/2007
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