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Individual

DR. STEPHEN A. CANNISTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5400
(617) 667-4283
Mailing address
631 GREENDALE AVE, NEEDHAM, MA 02492-4336

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
49464
MA

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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