Individual
STEPHEN JOSEPH POOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 250-8001
(978) 250-4142
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082752
U.S.HEALTH
MA
05
—
0152471
—
MA
01
—
15280
PILGRIM HEALTH
MA
01
—
35076
DAVIS VISION
MA
01
—
700580
TUFTS HEALTH
MA
01
—
STC16060
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
01/12/2006
Last updated
07/08/2007
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