Individual
GRACE STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
517 S POTOMAC ST, BALTIMORE, MD 21224-3906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010588
MD
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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