Provider Demographics
NPI:1669402491
Name:BAUMAN & STOLERU, M.D., P.C.
Entity type:Organization
Organization Name:BAUMAN & STOLERU, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROSENSTADT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-387-8900
Mailing Address - Street 1:3553 16TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3041
Mailing Address - Country:US
Mailing Address - Phone:202-387-8900
Mailing Address - Fax:202-328-0565
Practice Address - Street 1:3553 16TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3041
Practice Address - Country:US
Practice Address - Phone:202-387-8900
Practice Address - Fax:202-328-0565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0046333003OtherCIGNA
015463151OtherVSP
10221150OtherAMERIGROUP
911781OtherBLOCK VISION
DC0554707OtherAETNA
181923258OtherPALMETTO GBA RAIL ROAD MEDICARE
DC3082OtherCAREFIRST
MD210521700Medicaid
VA006202831Medicaid
DC022453400Medicaid
20914OtherMDIPA
MD42156001OtherBLUE CROSS MARYLAND
MD410441200Medicaid
DC3082OtherCAREFIRST
DC3082OtherCAREFIRST
10221150OtherAMERIGROUP
DCB94355Medicare UPIN