Stewart, Fray Dylan

Stewart, Fray Dylan is an individual health care provider with primary practice located at 600 N Wolfe St Harvey 319, Baltimore MD 21287-0005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Stewart, Fray Dylan can be contacted via phone (410) 955-2960.

Contact Information

Primary practice address
600 N Wolfe St Harvey 319 Baltimore MD 21287-0005
Phone: (410) 955-2960
Fax: (410) 502-5314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0053844 Maryland
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X D53844 Maryland

Profile Details

NPI number 1134143498
LBN Legal business name Stewart, Fray Dylan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134143498 NPPES
Maryland Other 60645101 BLUE SHIELD
Maryland Other 1701493 BLUE SHIELD
Maryland Other 2210485 BLUE SHIELD
Maryland Other 252812 BLUE SHIELD
Maryland MEDICAID 061401700 BLUE SHIELD
Maryland Other 0103 BLUE SHIELD
Maryland Other 2138547 BLUE SHIELD

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