Healthcare Provider Details

I. General information

NPI: 1346291200
Provider Name (Legal Business Name): DAVID H STEIN MD,MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N GREENE ST DERMATOLGOY FLOOR 2
BALTIMORE MD
21201-1524
US

IV. Provider business mailing address

10 N GREENE ST DERMATOLGOY FLOOR 2
BALTIMORE MD
21201-1524
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7222
  • Fax:
Mailing address:
  • Phone: 410-605-7222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0045007
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: