Individual
DR. IGOR STAVITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENERAL ST, ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.., LAWRENCE, MA 01841-2961
(978) 683-4000
(978) 946-8017
Mailing address
1 GENERAL ST, ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.., LAWRENCE, MA 01841-2961
(978) 683-4000
(978) 946-8017
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77664
MA
Other
Enumeration date
12/19/2005
Last updated
07/18/2007
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