Drs Edwards & Stephens Ltd | |
1005 N Point Blvd Suite 724 Baltimore MD 21224-3415 | |
(410) 284-5210 | |
(410) 282-5062 |
Full Name | Drs Edwards & Stephens Ltd |
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Speciality | Internal Medicine |
Location | 1005 N Point Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Theodore A Stephens (PARTNER) |
Authorized Official Contact | 4102845210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drs Edwards & Stephens Ltd 1005 N Point Blvd Suite 724 Baltimore MD 21224-3415 Ph: (410) 284-5210 | Drs Edwards & Stephens Ltd 1005 N Point Blvd Suite 724 Baltimore MD 21224-3415 Ph: (410) 284-5210 |
NPI Number | 1194817882 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2961501499 |
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Medicare Enrollment ID | O20070625000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194817882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D41399 (Maryland) | Primary |
Provider Name | Theodore A Stephens |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396842076 PECOS PAC ID: 9133228661 Enrollment ID: I20070625000670 |
Provider Name | Willarda V Edwards |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811948938 PECOS PAC ID: 0042319576 Enrollment ID: I20070625000685 |
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