Most Relevant Information
Provider Data
| NPI Number: | 1003040726 |
| Provider Name: | STEPHEN JOHN WITANOWSKI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | D0080458 |
Most Important Dates
| Enumeration Date: | 05/09/2009 |
| Last Updated: | 01/25/2016 |
Provider Practice Location
2700 QUARRY LAKE DR
SUITE 280
BALTIMORE
MD
212093742
Practice Location Phone/Fax
| Phone: | 4104695544 |
| Fax: | 4105852867 |
Provider Mailing Location
2700 QUARRY LAKE DR
SUITE 280
BALTIMORE
MD
212093742
Provider Mailing Phone/Fax
| Phone: | 4104695544 |
| Fax: | 4105852867 |
Suggested EMR
Internist EMR