Individual
STEPHAN M BECKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
88 WASHINGTON ST, ATTN: EMERGENCY DEPT, TAUNTON, MA 02780-2465
(508) 828-7108
(508) 828-7158
Mailing address
460 TOTTEN POND RD, C/O MZI, WALTHAM, MA 02451-1991
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
55003
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3015394
—
MA
01
—
436274
HPHC
MA
01
—
754131
TUFTS
MA
01
—
J06011
BCBS
MA
Enumeration date
10/25/2005
Last updated
07/08/2007
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