Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | D0001138 | MD |
NPI | 1033323795 |
---|---|
Provider Name | Dr. Harry Calvin Stein |
First Address | Rockville, MD 20852-3104 |
Second Address | Rockville, MD 20852-3104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 12/07/2017 |