Individual
MR. STEPHEN J. MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 E. JEFFERSON STREET, RM 112, BALTIMORE, MD 21287
(410) 502-6072
(410) 502-1329
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D37167
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038095
—
DE
05
—
284251300
—
MD
01
—
KR6860924
MEDICARE
MD
Enumeration date
06/03/2006
Last updated
01/24/2013
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