Individual
STEPHEN S AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4565
(410) 766-7602
Mailing address
PO BOX 8160, PHILADELPHIA, PA 19101-8160
(800) 355-0808
(610) 834-2862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D29916
MD
Other
Enumeration date
06/01/2006
Last updated
01/10/2008
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