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Organization
STEWARD MEDICAL GROUP INC.
Active
Organization
STEWARD MEDICAL GROUP INC.
Active
Other names
SMG VCS Region
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY KOCH (CFO)
(617) 562-5359
Entity
Organization
Contact information
Practice address
7264 WARREN SHARON RD, BROOKFIELD, OH 44403-9691
(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
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
03/16/2017
Last updated
08/13/2020
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