Individual provider · Type 1 NPI

De'quincey O. Stewart, P.A.

Surgical Physician Assistant · Baltimore, MD

NPI number 1740443779 Active

Practice location

2435 W Belvedere Ave, Suite 42
Baltimore, MD 21215-5224

Fax (410) 601-5835

Mailing address

2401 W Belvedere Ave, Credentialing
Baltimore, MD 21215-5216

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0003070 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1740443779

De'quincey O. Stewart, P.A.'s National Provider Identifier is 1740443779, issued on Jul 9, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Jul 9, 2008.