Provider Demographics
NPI:1700486610
Name:STEPHANIE SOLAZZO, MD, LLC
Entity Type:Organization
Organization Name:STEPHANIE SOLAZZO, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SOLAZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-583-2623
Mailing Address - Street 1:2324 W JOPPA RD STE 220
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4618
Mailing Address - Country:US
Mailing Address - Phone:410-583-2623
Mailing Address - Fax:410-583-2949
Practice Address - Street 1:2324 W JOPPA RD STE 220
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4618
Practice Address - Country:US
Practice Address - Phone:410-583-2623
Practice Address - Fax:410-583-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty