Individual
MR. STAFFORD GAY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 BESTGATE RD, SUITE 215, ANNAPOLIS, MD 21401-3091
(410) 573-9805
(410) 573-9806
Mailing address
888 BESTGATE RD, SUITE 215, ANNAPOLIS, MD 21401-3091
(410) 573-9805
(410) 573-9806
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0067661
MD
207RI0011X
Interventional Cardiology Physician
10260
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417655300
—
MD
Enumeration date
08/23/2005
Last updated
05/12/2011
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