Individual
DR. JOHN M. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 OLD WEST ELM ST, PEMBROKE, MA 02359-1731
(781) 202-9292
(781) 202-9299
Mailing address
15 OLD WEST ELM ST, PEMBROKE, MA 02359-1731
(781) 718-7435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155843
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022761
NHP
MA
01
—
110177695
RR MEDICARE
MA
05
—
3153550
—
MA
01
—
50600
FALLON
MA
01
—
68682
HPHC
MA
01
—
7350955001
CIGNA
MA
01
—
J18925
BCBS
MA
Enumeration date
02/16/2006
Last updated
02/23/2023
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