Healthcare Provider Details

I. General information

NPI: 1932604550
Provider Name (Legal Business Name): STEPHEN JOSEPH DUNN JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CENTRAL ST
PROVIDENCE RI
02907-2201
US

IV. Provider business mailing address

1340 BOYLSTON ST
BOSTON MA
02215-4302
US

V. Phone/Fax

Practice location:
  • Phone: 401-648-4700
  • Fax:
Mailing address:
  • Phone: 617-247-7555
  • Fax: 617-421-9871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO01543
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number286067
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: