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Organization
STONEHAM MEDICAL GROUP LLC
Active
Organization
STONEHAM MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN WILLS (BILLING MANAGER)
(781) 756-7273
Entity
Organization
Contact information
Practice address
88 MONTVALE AVE, 2, STONEHAM, MA 02180-3643
(781) 481-9255
(781) 481-9257
Mailing address
PO BOX 760, WINCHESTER, MA 01890-4260
(781) 756-7273
(781) 721-0725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
152386
MA
207R00000X
Internal Medicine Physician
206855
MA
207R00000X
Internal Medicine Physician
Primary
52067
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9784993
—
MA
Enumeration date
11/17/2005
Last updated
04/22/2015
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