MEDICARE: DR. SIDNEY FREDRICK STEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	017312	GA

General Provider Information

NPI Number	:	1366486011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDNEY FREDRICK STEIN M.D.

Provider Business Mailing Address
First Line	:	EMORY UNIVERSITY SCHOOL OF MEDICINE
Second Line	:	49 JESSE HILL JR. DRIVE S.E.
City	:	ATLANTA
State	:	GA
Zip	:	30303-3033
Country	:	US
Telephone Number	:	404-778-1352
Fax Number	:	404-778-1355

Provider Business Practice Location Address
First Line	:	EMORY UNIVERSITY SCHOOL OF MEDICINE
Second Line	:	49 JESSE HILL JR. DRIVE S.E.
City	:	ATLANTA
State	:	GA
Zip	:	30303-3033
Country	:	US
Telephone Number	:	404-778-1352
Fax Number	:	404-778-1355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	01/18/2008

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