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Organization

GARY L. STANTON, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY STANTON MD (PRESIDENT)
(800) 927-0002
Entity
Organization

Contact information

Practice address
131 ORNAC JOHN CUMMINGS BLD., CONCORD, MA 01742
(508) 772-5954
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(800) 927-0002

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9754598
MA
Enumeration date
12/28/2005
Last updated
09/10/2008
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