Provider Demographics
NPI:1215229885
Name:HACK, STEPHANIE STAPLES (MD)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:STAPLES
Last Name:HACK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:STAPLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2301 M ST NW
Mailing Address - Street 2:DEPARTMENT OF OBSTETRICS AND GYNECOLO
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1427
Mailing Address - Country:US
Mailing Address - Phone:202-419-6300
Mailing Address - Fax:
Practice Address - Street 1:2301 M ST NW
Practice Address - Street 2:DEPARTMENT OF OBSTETRICS AND GYNECOLO
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1427
Practice Address - Country:US
Practice Address - Phone:202-419-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-13
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD043469207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology