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Individual

MR. WARREN STATMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ABO

Contact information

Practice address
1268 MD RT 3 SOUTH, SUITE #2, CROFTON, MD 21114-1333
(410) 721-5533
(410) 721-5550
Mailing address
1268 MD RT 3 SOUTH, SUITE #2, CROFTON, MD 21114-1333
(410) 721-5533
(410) 721-5550

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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