MEDICARE: DR. BARBARA STELLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	54671	MA

General Provider Information

NPI Number	:	1437259199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA STELLE MD

Provider Business Mailing Address
First Line	:	303 ROUTE 28
Second Line	:
City	:	WEST YARMOUTH
State	:	MA
Zip	:	02673-4661
Country	:	US
Telephone Number	:	617-447-2146
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 ROUTE 28
Second Line	:
City	:	WEST YARMOUTH
State	:	MA
Zip	:	02673-4661
Country	:	US
Telephone Number	:	617-447-2146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2006
Last Update Date	:	07/08/2007

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