Individual provider · Type 1 NPI

Stephen J. Staniewski, PA-C

Surgical Physician Assistant · Baltimore, MD

NPI number 1104177443 Active

Practice location

2900 S Hanover St
Baltimore, MD 21225-1232

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0004850 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1104177443

Stephen J. Staniewski, PA-C's National Provider Identifier is 1104177443, issued on Sep 26, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Sep 26, 2012.