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Individual

DR. STEPHEN WILLARD BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 MAIN ST BLDG B, HYANNIS, MA 02601-3112
(508) 775-0800
(508) 771-8565
Mailing address
6 MAIN ST BLDG B, HYANNIS, MA 02601-3112
(508) 775-0800
(508) 771-8565

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
72357
MA
208600000X
Surgery Physician
72357
MA
2086S0129X
Vascular Surgery Physician
Primary
72357
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000029456
BMC
MA
01
020013142
RAILROAD MEDICARE
MA
05
3058956
MA
01
3074530
AETNA
MA
01
760986
TUFTS HEALTH PLAN
MA
01
8394
HARVARD PILGRIM HEALTHCAR
MA
01
B20265301
CIGNA
MA
01
J09482
BLUECROSS BLUESHIELD MA
MA
Enumeration date
05/18/2006
Last updated
12/04/2019
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