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STEPHAN A BART M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1225014459

Individual Registrant:
 STEPHAN A BART M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10403 WETHERBURN RD  WOODSTOCK, MD 21163 US
Tel: 352-586-8547  Fax: --

Contact information for business:
10403 WETHERBURN RD  WOODSTOCK, MD 21163 US
Tel: 352-586-8547  Fax: --

Registration Information:
NPI: 1225014459
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MDD0064938
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLME64842

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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