Organization
STEWARD MEDICAL GROUP, INC
Active
Other names
3745 11TH CIRCLE STE 101
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE GUAY (PRESIDENT OF SMG)
(617) 562-7070
Entity
Organization
Contact information
Practice address
3745 11TH CIR STE 101, VERO BEACH, FL 32960-4838
(772) 918-4327
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
(617) 562-5628
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20669903
—
FL
Enumeration date
11/30/2021
Last updated
11/30/2021
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