Stella Md Clinical Practice Pc | |
2835 Smith Ave Ste 207 Baltimore MD 21209-1462 | |
(914) 806-3678 | |
Not Available |
Full Name | Stella Md Clinical Practice Pc |
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Speciality | Internal Medicine |
Location | 2835 Smith Ave Ste 207, Baltimore, Maryland |
Authorized Official Name and Position | Daniel S Berman (CEO) |
Authorized Official Contact | 9148063678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stella Md Clinical Practice Pc 6727 Giralda Cir Boca Raton FL 33433-7733 Ph: (914) 806-3678 | Stella Md Clinical Practice Pc 2835 Smith Ave Ste 207 Baltimore MD 21209-1462 Ph: (914) 806-3678 |
NPI Number | 1174367064 |
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Provider Enumeration Date | 06/24/2024 |
Last Update Date | 06/24/2024 |
Medicare PECOS PAC ID | 6901330026 |
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Medicare Enrollment ID | O20241113000023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174367064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Daniel Berman |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1336128206 PECOS PAC ID: 6901839885 Enrollment ID: I20241113000030 |
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