Individual
STEPHEN EZRA PUPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CGC
Contact information
Practice address
4494 PALMER ROAD N, BUILDING 19, 3RD FLOOR, BETHESDA, MD 20889
(301) 295-4283
Mailing address
4494 PALMER ROAD N BUILDING 19, 3RD FLOOR, BETHESDA, MD 20889-0001
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
G0000149
MD
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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