Provider Demographics
NPI:1033323795
Name:STEIN, HARRY CALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:CALVIN
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11140 ROCKVILLE PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3104
Mailing Address - Country:US
Mailing Address - Phone:561-302-5014
Mailing Address - Fax:
Practice Address - Street 1:11140 ROCKVILLE PIKE STE 400
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3104
Practice Address - Country:US
Practice Address - Phone:561-302-5014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2022-07-21
Deactivation Date:2017-03-15
Deactivation Code:
Reactivation Date:2017-07-05
Provider Licenses
StateLicense IDTaxonomies
MDD0001138207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine