Individual
STEPHEN RAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
487 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(774) 628-1000
Mailing address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-5432
(774) 628-1000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/01/2016
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