Provider Demographics
NPI:1568437515
Name:OPPENHEIMER, STEPHEN (MB,BS)
Entity Type:Individual
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First Name:STEPHEN
Middle Name:
Last Name:OPPENHEIMER
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Gender:M
Credentials:MB,BS
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11011 MCCORMICK ROAD
Mailing Address - Street 2:STE 200
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031
Mailing Address - Country:US
Mailing Address - Phone:410-666-2588
Mailing Address - Fax:443-403-0646
Practice Address - Street 1:11011 MCCORMICK ROAD
Practice Address - Street 2:STE 200
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031
Practice Address - Country:US
Practice Address - Phone:410-666-2588
Practice Address - Fax:443-403-0646
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2012-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00457282084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology