Individual
STEPHEN LEIGHTON KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
(508) 961-0928
Mailing address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
(508) 961-0928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
71775
MA
2086S0129X
Vascular Surgery Physician
Primary
71775
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9767797
—
MA
Enumeration date
05/26/2006
Last updated
02/08/2018
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