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NPI Code Detail

MEDICARE: STEPHANIE MARIE BARCZAK PA

MEDICARE: STEPHANIE MARIE BARCZAK PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1144847252
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE BARCZAK PA
Provider Business Mailing Address
First Line : 11 AMHERST RD
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-2608
Country : US
Telephone Number : 978-821-0406
Fax Number :
Provider Business Practice Location Address
First Line : 11 AMHERST RD
Second Line :
City : WILMINGTON
State : MA
Zip : 01887-2608
Country : US
Telephone Number : 978-821-0406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2020
Last Update Date : 07/06/2020

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Directions to “ STEPHANIE MARIE BARCZAK PA” Practice Location

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