Individual
STEPHEN F WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 N PHILADELPHIA AVE, OCEAN CITY, MD 21842-3735
(410) 289-6241
(410) 289-5533
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0027993
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363421300
—
MD
Enumeration date
10/21/2005
Last updated
02/02/2010
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