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Individual
DR. STEPHEN WILLARD BROOKS
Active
Individual
DR. STEPHEN WILLARD BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
72357
MA
208600000X
Surgery Physician
72357
MA
2086S0129X
Vascular Surgery Physician
Primary
72357
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000029456
BMC
MA
01
—
020013142
RAILROAD MEDICARE
MA
05
—
3058956
—
MA
01
—
3074530
AETNA
MA
01
—
760986
TUFTS HEALTH PLAN
MA
01
—
8394
HARVARD PILGRIM HEALTHCAR
MA
01
—
B20265301
CIGNA
MA
01
—
J09482
BLUECROSS BLUESHIELD MA
MA
Enumeration date
05/18/2006
Last updated
12/04/2019
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