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General NPI Number Information
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NPI Number | 1386847754
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Entity Type | Individual
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Provider Name | KATHERINE GALE STEDMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 1 HOSPITAL ROAD
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City | OAK BLUFFS
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State | MA
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Zip | 02557
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Country | US
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Telephone | 508-957-0111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2284
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City | VINEYARD HAVEN
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State | MA
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Zip | 02568-0918
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Country | US
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Telephone | 401-450-6666
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD13278
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 246881
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License Number State | MA
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