Provider Demographics
NPI:1194817882
Name:DRS EDWARDS & STEPHENS LTD
Entity Type:Organization
Organization Name:DRS EDWARDS & STEPHENS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:A
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-284-5210
Mailing Address - Street 1:1005 N POINT BLVD
Mailing Address - Street 2:SUITE 724
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-3415
Mailing Address - Country:US
Mailing Address - Phone:410-284-5210
Mailing Address - Fax:410-282-5062
Practice Address - Street 1:1005 N POINT BLVD
Practice Address - Street 2:SUITE 724
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3415
Practice Address - Country:US
Practice Address - Phone:410-284-5210
Practice Address - Fax:410-282-5062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD41399207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty