Individual
GEORGE STALCUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135
(617) 789-2102
Mailing address
5 RESERVOIR ST, BOYLSTON, MA 01505-1513
(919) 717-9673
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ETLL-757
MA
Other
Enumeration date
06/28/2020
Last updated
10/07/2025
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