Individual
STEPHEN JOSEPH POOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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