Healthcare Provider Details

I. General information

NPI: 1205899176
Provider Name (Legal Business Name): STEPHEN M BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 11/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 W. BELVEDERE AVENUE, SUITE 104 MORTON MOWER, M.D. OFF. BLDG.
BALTIMORE MD
21215-5228
US

IV. Provider business mailing address

2401 W BELVEDERE AVE DEPT OF CREDENTIALING
BALTIMORE MD
21215-5216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-8691
  • Fax: 410-601-8996
Mailing address:
  • Phone: 410-601-5524
  • Fax: 410-601-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0050755
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: