MEDICARE: DR. DOINA A STEFAN 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	208000000X	Pediatrics Physician	MD00035701	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417983651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOINA A STEFAN M.D.

Provider Business Mailing Address
First Line	:	1400 E KINCAID ST
Second Line	:	ATTN: CREDENTIALING
City	:	MOUNT VERNON
State	:	WA
Zip	:	98274-4127
Country	:	US
Telephone Number	:	360-814-6724
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 WESLEY ST
Second Line	:	SUITE 130
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1613
Country	:	US
Telephone Number	:	360-435-6525
Fax Number	:	360-435-2634

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	06/01/2016

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Directions to “ DR. DOINA A STEFAN M.D.” Practice Location

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