| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2961501499 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396842076 PECOS PAC ID: 9133228661 Enrollment ID: I20070625000670 |
| Provider Name | Willarda V Edwards |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811948938 PECOS PAC ID: 0042319576 Enrollment ID: I20070625000685 |
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