MEDICARE: DR. EUGENE E STEC MD

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
1	207YX0602X	Otolaryngic Allergy Physician	MD053741L	PA
2	207Y00000X	Otolaryngology Physician	MD0004	RI
3	207Y00000X	Otolaryngology Physician	78626	MN

General Provider Information

NPI Number	:	1245260207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE E STEC MD

Provider Business Mailing Address
First Line	:	17 WELLS ST STE 201
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2923
Country	:	US
Telephone Number	:	401-596-2033
Fax Number	:	401-596-9294

Provider Business Practice Location Address
First Line	:	17 WELLS ST STE 201
Second Line	:
City	:	WESTERLY
State	:	RI
Zip	:	02891-2923
Country	:	US
Telephone Number	:	401-596-2033
Fax Number	:	401-596-9294

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	09/18/2025

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