Individual
MR. CONOR MCCOLGAN STACK
Active
Individual
MR. CONOR MCCOLGAN STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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