Individual
MR. CONOR MCCOLGAN STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252843
MA
207RI0200X
Infectious Disease Physician
Primary
266559
MA
Other
Enumeration date
06/08/2012
Last updated
08/15/2018
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