Provider Demographics
NPI:1114392255
Name:MIGUELES, STEPHEN ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ANTHONY
Last Name:MIGUELES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 CENTER DR
Mailing Address - Street 2:BLDG 10, ROOM 11B-07
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-7090
Mailing Address - Fax:301-480-9978
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:BLDG 10, ROOM 11B-07
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-7090
Practice Address - Fax:301-480-9978
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101052463207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease