Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 224040 | NY |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 224040 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME135932 | FL |
NPI | 1174559231 |
---|---|
Provider Name | Dr. Allan S Stewart |
First Address | Miami, FL 33133-4232 |
Second Address | Miami, FL 33133-4232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 31/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2517577 | (05) | NY |