Individual
STEPHEN PIDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 BROADWAY, TWP, SUITE 140, RATNHAM, MA 02767
(508) 894-8730
(508) 894-8732
Mailing address
1215 BROADWAY, RAYNHAM, MA 02767-1942
(508) 894-0400
(508) 559-7035
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1867
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362611
—
MA
Enumeration date
12/09/2005
Last updated
05/25/2016
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