Provider Demographics
NPI:1003927757
Name:STRYER, STACY B (MD)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:B
Last Name:STRYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 RESEARCH BLVD
Mailing Address - Street 2:SUITE 370
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3215
Mailing Address - Country:US
Mailing Address - Phone:301-990-1664
Mailing Address - Fax:301-990-0471
Practice Address - Street 1:2401 RESEARCH BLVD
Practice Address - Street 2:SUITE 370
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3215
Practice Address - Country:US
Practice Address - Phone:301-990-1664
Practice Address - Fax:301-990-0471
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0052549208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics