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Individual

DR. MEKHALA STEPHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3101
(781) 337-4224
(781) 335-0429
Mailing address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3101
(781) 337-4224
(781) 335-0429

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
213974
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
213974
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
469489
TUFTS HEALTH PLAN
MA
01
98014
FALLON
MA
01
AA42871
HARVARD PILGRIM
MA
01
J27684
BLUE SHIELD
MA
Enumeration date
04/14/2006
Last updated
10/30/2007
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