Healthcare Provider Details

I. General information

NPI: 1285634238
Provider Name (Legal Business Name): STEPHEN MICHAEL REINITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 SOUTH HANOVER STREET
BALTIMORE MD
21226
US

IV. Provider business mailing address

3001 SOUTH HANOVER STREET
BALTIMORE MD
21226
US

V. Phone/Fax

Practice location:
  • Phone: 410-350-3341
  • Fax: 410-354-0170
Mailing address:
  • Phone: 410-350-3341
  • Fax: 410-354-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD00041591
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: