Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D0067762 | MD |
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0067762 | MD |
NPI | 1194869644 |
---|---|
Provider Name | Dr. Jason Andrew Stein |
First Address | Baltimore, MD 21218 |
Second Address | Baltimore, MD 21218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2007 |
Last Update Date | 18/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I73763 | (02) |