NPI 1457495566

Charles R Stewart, RDCSRVT

Practitioner Physiological Laboratory Chevy Chase, MD

Practice location

Address: 5530 Wisconsin Ave Suite 915, Chevy Chase, MD 20815-4404
Phone: (301) 654-0591
Fax: (301) 654-0376
Mailing address: 2411 Stanwick Rd, Phoenix, MD 21131-1519

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 14718 (MD)

Other Physiological Laboratory providers in Maryland →

Registry record

NPI: 1457495566
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 21 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.