Individual
DR. BRIAN JOSEPH STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 FRANCIS ST STE 4B, BOSTON, MA 02215-5501
(617) 632-8658
(617) 632-7514
Mailing address
110 FRANCIS ST STE 4B, BOSTON, MA 02215-5501
(617) 632-8658
(617) 632-7514
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
286627
MA
207RR0500X
Rheumatology Physician
MD-16078
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
HI
Enumeration date
06/18/2009
Last updated
07/03/2021
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