Provider Demographics
NPI:1598954869
Name:HARRY S STEVEN MD PA
Entity Type:Organization
Organization Name:HARRY S STEVEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAIN
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-828-8535
Mailing Address - Street 1:6569 N CHARLES ST STE 700
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6832
Mailing Address - Country:US
Mailing Address - Phone:410-828-8535
Mailing Address - Fax:410-828-4225
Practice Address - Street 1:6569 N CHARLES ST STE 700
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6832
Practice Address - Country:US
Practice Address - Phone:410-828-8535
Practice Address - Fax:410-828-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD72168Medicare UPIN
MD192NMedicare PIN