Provider Demographics
NPI:1194869644
Name:STEIN, JASON ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:ANDREW
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3333 NORTH CALVERT ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-6867
Mailing Address - Fax:410-554-2030
Practice Address - Street 1:3333 NORTH CALVERT ST
Practice Address - Street 2:SUITE 400
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-6867
Practice Address - Fax:410-554-2030
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0067762207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I73763Medicare UPIN
969860232Medicare PIN
969860232Medicare PIN