Healthcare Provider Details

I. General information

NPI: 1275064909
Provider Name (Legal Business Name): GBU STEWARD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 ROCHE BROS WAY UNIT 100
NORTH EASTON MA
02356-1032
US

IV. Provider business mailing address

72 SHARP ST STE A8
HINGHAM MA
02043-4351
US

V. Phone/Fax

Practice location:
  • Phone: 855-505-3335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL CURRAN
Title or Position: PRESIDENT
Credential: MD
Phone: 781-337-0201