Basic Information
| Provider Information | |||||||||
| NPI: | 1144225814 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WARREN | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | STEPHANIE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10508 CHESHAM WAY | ||||||||
| Address2: | |||||||||
| City: | WOODSTOCK | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211631364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104652449 | ||||||||
| FaxNumber: | 4104652573 | ||||||||
| Practice Location | |||||||||
| Address1: | 23 CROSSROADS DR | ||||||||
| Address2: | STE 100 | ||||||||
| City: | OWINGS MILLS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211175476 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103560300 | ||||||||
| FaxNumber: | 4103560309 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | D0048116 | MD | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.