Basic Information
Provider Information
NPI: 1275569212
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEINER
FirstName: EDWARD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3421 CONCORD RD
Address2:  
City: RED LION
State: PA
PostalCode: 17402
CountryCode: US
TelephoneNumber: 7178511405
FaxNumber: 7178516969
Practice Location
Address1: 35 MONUMENT RD STE 201
Address2:  
City: YORK
State: PA
PostalCode: 174035074
CountryCode: US
TelephoneNumber: 7178124083
FaxNumber: 7178122244
Other Information
ProviderEnumerationDate: 06/23/2006
LastUpdateDate: 08/24/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XD0036366MDN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XMD460733PAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
23472110005MD MEDICAID


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