Individual
DR. MICHAEL JOSEPH STARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
100 CUMMINGS CTR, SUITE 121Q, BEVERLY, MA 01915-6115
(978) 927-0907
(978) 927-0537
Mailing address
6 CORLISS RD, WINDHAM, NH 03087-2388
(603) 918-6080
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
15505
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316326
—
MA
Enumeration date
11/18/2005
Last updated
01/26/2011
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