| William J Stockton, M.d. | |
|
3405 Howard Dr Port Republic MD 20676-2190 | |
| (443) 295-7198 | |
| (443) 295-7199 |
| Full Name | William J Stockton, M.d. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3405 Howard Dr, Port Republic, Maryland |
| Authorized Official Name and Position | William James Stockton (OWNER) |
| Authorized Official Contact | 4432957198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J Stockton, M.d. 3405 Howard Dr Port Republic MD 20676-2190 Ph: (443) 295-7198 | William J Stockton, M.d. 3405 Howard Dr Port Republic MD 20676-2190 Ph: (443) 295-7198 |
| NPI Number | 1063734085 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063734085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | D0012330 (Maryland) | Primary |
Maple Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5623 Mills Field Ln, Port Republic, MD 20676 Phone: 410-586-8041 |