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Individual

STEPHEN F KOELBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
541 MAIN ST, WEYMOUTH, MA 02190-1868
(781) 682-9700
Mailing address
PO BOX 2190, WEST PEABODY, MA 01960-7190
(781) 231-7026

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
158723
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
158723
TUFTS HEALTH CARE
MA
05
3188027
MA
01
68790
HARVARD PILGRIM HEALTHCAR
MA
01
J19651
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/12/2006
Last updated
06/10/2013
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