Carl E Stafstrom in Baltimore - Neurology With Special Qualifications In Child Neurology

Carl E Stafstrom - NPI 1912979196

Carl E Stafstrom is a Neurology With Special Qualifications In Child Neurology in Baltimore, Maryland. Carl E Stafstrom practices all healthcare services and medical treatments related to Neurology With Special Qualifications In Child Neurology. The NPI Number for Carl E Stafstrom is 1912979196. The last update date is 2014-11-07.

Carl E Stafstrom's current location address is 200 N Wolfe St, Baltimore, Maryland. You can contact this provider via phone number 4109554259. The mailing address for Carl E Stafstrom is 200 N Wolfe St, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Carl E Stafstrom
Address 200 N Wolfe St, Baltimore, Maryland
Phone Number 4109554259
Fax Number
Sole Proprietor N
Credentials MD PHD

NPI Number Detail

NPI Number 1912979196
Provider Enumeration Date 2006-02-02
Last Updated Date 2014-11-07

Provider Mailing Address Detail

Address 200 N Wolfe St
City Baltimore
State Maryland (MD)
Post Code 212870011
Phone Number 4109554259
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology With Special Qualifications In Child Neurology
Taxonomy 2084N0402X
Licence No D77086
Definition:
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
73165000 MD --

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FAQs about Carl E Stafstrom

What is the unique 10-digit identifier code issued to Carl E Stafstrom by the Centers for Medicare & Medicaid Services?

The Carl E Stafstrom has been assigned the NPI (National Provider Identifier) 1912979196 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Carl E Stafstrom's facilities are situated?

The facilities of Carl E Stafstrom are physically located at the following address: 200 N Wolfe St, Baltimore, MD, 212870011.

What is Carl E Stafstrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Carl E Stafstrom is Neurology With Special Qualifications In Child Neurology, and the corresponding taxonomy classification code for this specialized field is 2084N0402X.

On what date did the Carl E Stafstrom receive the assignment of its 1912979196 from the Centers for Medicare & Medicaid Services?

The Carl E Stafstrom was issued its 1912979196 by the Centers for Medicare & Medicaid Services on 2006-02-02.

As of what date was the information pertaining to Carl E Stafstrom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carl E Stafstrom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-11-07.

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