Individual
STEPHEN BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
(781) 624-3719
Mailing address
PO BOX 200694, PITTSBURGH, PA 15251-0694
(833) 324-6904
(302) 440-5783
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A90160
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A90160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A901600
MEDICAL
CA
Enumeration date
05/09/2006
Last updated
02/13/2026
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