MEDICARE: STEPHEN J. HOENIG, MD, PC

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	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1942815022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN J. HOENIG, MD, PC

Provider Business Mailing Address
First Line	:	114 MERRIAM AVE STE 101
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3175
Country	:	US
Telephone Number	:	978-534-3399
Fax Number	:	978-537-4929

Provider Business Practice Location Address
First Line	:	114 MERRIAM AVE STE 101
Second Line	:
City	:	LEOMINSTER
State	:	MA
Zip	:	01453-3175
Country	:	US
Telephone Number	:	978-534-3399
Fax Number	:	978-534-4929

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	KATHERINE KOONTZ CUDDY
Credential	:
Telephone Number	:	978-254-0001

Provider Enumeration Date	:	09/15/2020
Last Update Date	:	09/15/2020

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