Individual
THULANI STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11110 MEDICAL CAMPUS RD, SUITE 249, HAGERSTOWN, MD 21742-6700
(301) 714-4100
(301) 714-4101
Mailing address
11110 MEDICAL CAMPUS RD, SUITE 249, HAGERSTOWN, MD 21742-6700
(301) 714-4100
(301) 714-4101
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0076668
MD
207VX0000X
Obstetrics Physician
45668
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937223
—
AL
05
—
070690600
—
MD
01
—
515-34525
BCBS OF ALABAMA
AL
Enumeration date
06/06/2006
Last updated
03/03/2014
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