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NPI Code Detail

MEDICARE: DR. JEROME STEIN MD

MEDICARE: DR. JEROME STEIN MD
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
1207VG0400XGynecology Physician0101019154VA

Other Identifiers

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

General Provider Information

NPI Number : 1831184159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEROME STEIN MD
Provider Business Mailing Address
First Line : 2 E GLEBE RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22305-2938
Country : US
Telephone Number : 703-535-5568
Fax Number : 703-535-1583
Provider Business Practice Location Address
First Line : 2 E GLEBE RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22305-2938
Country : US
Telephone Number : 703-535-5568
Fax Number : 703-535-1583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 08/01/2011

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Directions to “ DR. JEROME STEIN MD” Practice Location

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