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NPI Code Detail

MEDICARE: STEWARD MEDICAL GROUP, INC.

MEDICARE: STEWARD MEDICAL GROUP, INC.
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1376115675
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEWARD MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 9 GALEN ST
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-4515
Country : US
Telephone Number : 617-562-5628
Fax Number :
Provider Business Practice Location Address
First Line : 3905 NW 107TH AVE STE 409
Second Line :
City : DORAL
State : FL
Zip : 33178-2785
Country : US
Telephone Number : 305-594-9333
Fax Number :
Authorized Official
Title or Position : PRESIDENT OF STEWARD MEDICAL GROUP
Name : AMY MARIE GUAY
Credential :
Telephone Number : 617-562-5628
Provider Enumeration Date : 07/15/2021
Last Update Date : 07/15/2021

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Directions to “STEWARD MEDICAL GROUP, INC. ” Practice Location

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