Healthcare Provider Details

I. General information

NPI: 1073726089
Provider Name (Legal Business Name): STEPHEN PAUL JAMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 DEMOCRACY BLVD ROOM 677
BETHESDA MD
20892
US

IV. Provider business mailing address

6707 DEMOCRACY BLVD ROOM 677
BETHESDA MD
20892
US

V. Phone/Fax

Practice location:
  • Phone: 301-594-7680
  • Fax: 301-480-8300
Mailing address:
  • Phone: 301-594-7680
  • Fax: 301-480-8300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberD19303
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: