Healthcare Provider Details

I. General information

NPI: 1790148138
Provider Name (Legal Business Name): JULIE STEIN DEUTSCH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIE ELANA STEIN M.D.

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WOLFE ST
BALTIMORE MD
21287
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-3980
  • Fax:
Mailing address:
  • Phone: 410-933-6423
  • Fax: 410-500-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberD93219
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD93219
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: