# STELWIN MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366044836
- **Authorized official:** CHRISTIANA EGWIM FNP (PRESIDENT)
- **Authorized official phone:** (617) 943-5606

## Contact information

- **Practice address:** 19 F B MERRICK CIR, RANDOLPH, MA 02368-2477
- **Practice address phone:** (617) 943-5606
- **Mailing address:** 19 F B MERRICK CIR, RANDOLPH, MA 02368-2477
- **Mailing address phone:** (617) 943-5606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/10/2020