Provider Demographics
NPI:1265300982
Name:STEWART, QUEEN ESTHER (MED)
Entity type:Individual
Prefix:
First Name:QUEEN
Middle Name:ESTHER
Last Name:STEWART
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 N LUZERNE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1611
Mailing Address - Country:US
Mailing Address - Phone:443-413-8282
Mailing Address - Fax:
Practice Address - Street 1:835 N LUZERNE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1611
Practice Address - Country:US
Practice Address - Phone:443-413-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty