MEDICARE: MR. STEPHEN JOSEPH MCGARRY CRNA

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	367500000X	Certified Registered Nurse Anesthetist	NA103805	MA

General Provider Information

NPI Number	:	1851451025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN JOSEPH MCGARRY CRNA

Provider Business Mailing Address
First Line	:	10 TIMOTHY DRIVE
Second Line	:
City	:	WEST BRIDGEWATER
State	:	MA
Zip	:	02379
Country	:	US
Telephone Number	:	508-588-0807
Fax Number	:	508-583-8815

Provider Business Practice Location Address
First Line	:	333 ELM ST
Second Line	:	DEDHAM CATARACT AND LASER CENTER
City	:	DEDHAM
State	:	MA
Zip	:	02026
Country	:	US
Telephone Number	:	781-326-3800
Fax Number	:	781-326-2120

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	03/22/2026

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