Healthcare Provider Details

I. General information

NPI: 1811973308
Provider Name (Legal Business Name): STEVEN C FLOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 WALNUT STREET FOXBORO AREA HEALTH CENTER
FOXBORO MA
02035
US

IV. Provider business mailing address

77 WARREN STREET PROVIDER ENROLLMENT, 3RD FLOOR
BRIGHTON MA
02135
US

V. Phone/Fax

Practice location:
  • Phone: 508-543-6371
  • Fax: 508-543-3347
Mailing address:
  • Phone: 617-562-5359
  • Fax: 617-562-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number44155
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: