Individual
STEPHEN D GUNNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3395
(508) 941-7000
Mailing address
42 SUNSET AVE, WEST BRIDGEWATER, MA 02379-1134
(781) 366-2595
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/17/2019
Last updated
10/28/2019
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