Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | C162408 | CA |
N | 208600000X | Surgeon | C162408 | CA |
Y | 2086S0102X | Surgical Critical Care | C162408 | CA |
N | 2086S0102X | Surgical Critical Care | D60487 | MD |
N | 2086S0127X | Trauma Surgeon | D60487 | MD |
NPI | 1306886049 |
---|---|
Provider Name | Dr. Deborah M Stein |
First Address | San Francisco, CA 94143-2204 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
405556000 | (05) | MD |
I20694 | (02) | MD |