Individual
STEPHANIE KIM NOTHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4940 EASTERN AVE, GERIATRIC MEDICINE/SUITE 2200, BALTIMORE, MD 21224-2735
(410) 550-0925
Mailing address
4940 EASTERN AVE, GERIATRIC MEDICINE/SUITE 2200, BALTIMORE, MD 21224-2735
(410) 550-0925
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D77473
MD
Other
Enumeration date
03/22/2011
Last updated
02/03/2016
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