Individual
LEAH S MILLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-0345
(410) 328-3577
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-0345
(410) 328-3577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D64920
MD
208000000X
Pediatrics Physician
D0064920
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
411854500
—
MD
01
—
927948-01
BLUE SHIELD - MD
MD
01
—
S062-0339
BLUE CHOICE - REGIONAL
MD
Enumeration date
09/26/2006
Last updated
04/13/2009
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