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Organization
STEWARD MEDICAL GROUP INC.
Active
Organization
STEWARD MEDICAL GROUP INC.
Active
Other names
SMG Tri-State Region
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KOCH (CFO)
(617) 562-5359
Entity
Organization
Contact information
Practice address
21 CORPORATE DR, STE. 1, EASTON, PA 18045-2664
(615) 467-4158
(615) 467-1267
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
(617) 562-5359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
03/17/2017
Last updated
08/13/2020
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