Healthcare Provider Details

I. General information

NPI: 1649375072
Provider Name (Legal Business Name): MARGARET I STEWART M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 10/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 BORTHWICK AVE SUITE 201 WEST
PORTSMOUTH NH
03801-7156
US

IV. Provider business mailing address

280 MERRIMACK ST STE 311
LAWRENCE MA
01843-1779
US

V. Phone/Fax

Practice location:
  • Phone: 603-433-9575
  • Fax: 603-430-0104
Mailing address:
  • Phone: 978-691-5690
  • Fax: 978-691-5693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number159113
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number11839
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: