MEDICARE: DR. JOANNE STEPHANIE WARREN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	D0048116	MD

General Provider Information

NPI Number	:	1144225814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE STEPHANIE WARREN MD

Provider Business Mailing Address
First Line	:	10508 CHESHAM WAY
Second Line	:
City	:	WOODSTOCK
State	:	MD
Zip	:	21163-1364
Country	:	US
Telephone Number	:	410-465-2449
Fax Number	:	410-465-2573

Provider Business Practice Location Address
First Line	:	23 CROSSROADS DR
Second Line	:	STE 100
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-5476
Country	:	US
Telephone Number	:	410-356-0300
Fax Number	:	410-356-0309

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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