Individual
DR. KEITH STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, SHAPIRO 913D, BOSTON, MA 02215-5400
(617) 667-9235
(617) 975-5665
Mailing address
330 BROOKLINE AVE, SHAPIRO 913D, BOSTON, MA 02215-5400
(617) 667-9235
(617) 975-5665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
60230
MA
207RH0003X
Hematology & Oncology Physician
Primary
80230
MA
207RX0202X
Medical Oncology Physician
60230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076661
—
MA
Enumeration date
07/06/2006
Last updated
03/02/2021
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