Individual
DR. JOHN GUS STAGIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 HAMILTON ST, SOUTHBRIDGE, MA 01550-1859
(508) 765-1600
(508) 765-0253
Mailing address
PO BOX 250, STURBRIDGE, MA 01566-0250
(508) 765-1600
(508) 765-0253
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
80381
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010080381MA01
ANTHEM BCBS
CT
01
—
080381
TUFTS
MA
01
—
110088781
RR MEDICARE
MA
01
—
21577
FALLON COM HEALTH PLAN
MA
01
—
33988
BMC
MA
01
—
452850
AETNA US HEALTHCARE
MA
01
—
64553
HARVARD PILGLRIM
MA
05
—
9773916
—
MA
01
—
983813
NETWORK HEALTH
MA
01
—
J14840
BCBS
MA
01
—
S029063
CHAMPUS
MA
Enumeration date
06/13/2005
Last updated
09/21/2012
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