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NPI Code Detail

MEDICARE: DR. JULIE LOPES STEPANIAN M.D.

MEDICARE: DR. JULIE LOPES STEPANIAN M.D.
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
1208000000XPediatrics PhysicianML0378352AMA

General Provider Information

NPI Number : 1558358408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE LOPES STEPANIAN M.D.
Provider Business Mailing Address
First Line : 300 BROADWAY
Second Line : SOMERVILLE PEDIATRICS
City : SOMERVILLE
State : MA
Zip : 02145-2935
Country : US
Telephone Number : 617-284-7000
Fax Number : 617-284-7080
Provider Business Practice Location Address
First Line : 300 BROADWAY
Second Line : SOMERVILLE PEDIATRICS
City : SOMERVILLE
State : MA
Zip : 02145-2935
Country : US
Telephone Number : 617-284-7000
Fax Number : 617-284-7080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/08/2007

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