Individual
STEPHEN J SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 FRANKLIN ST, WRENTHAM, MA 02093-1232
(978) 466-2994
Mailing address
885 FRANKLIN ST, WRENTHAM, MA 02093-1232
(978) 466-2994
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75127
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110051133A
—
MA
Enumeration date
06/02/2006
Last updated
10/29/2021
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