Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | D41625 | MD |
NPI | 1427194695 |
---|---|
Provider Name | Dr. Steven Nagel |
First Address | Poolesville, MD 20837-8606 |
Second Address | Frederick, MD 21702-4863 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 20/11/2019 |