Individual
STEPHEN JOHN DUMARESQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
110 MAIN STREET, UNIT B, HYANNIS, MA 02601-3127
(508) 775-5011
Mailing address
69 STERLING RD, HYANNIS, MA 02601-3656
(508) 862-2554
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077642
MA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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