Individual
STEPHEN J CONDOURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4544 KESWICK RD, BALTIMORE, MD 21210
(410) 852-0458
Mailing address
4544 KESWICK RD, BALTIMORE, MD 21210-2515
(410) 852-0458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R204143
MD
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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