Individual provider · Type 1 NPI
Jamie Lichtenstein Stackman, PA-C
Medical Physician Assistant · Gaithersburg, MD
NPI number
1134449614
Active
Practice location
7 Granite Pl Ste 14
Gaithersburg, MD 20878-6607
Mailing address
7 Granite Place, Suite 14
Gaithersburg, MD 20878-3201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0004117 (MD) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1134449614
Jamie Lichtenstein Stackman, PA-C's National Provider Identifier is 1134449614, issued on Jun 7, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Dec 19, 2013.