Organization
STEWARD MEDICAL GROUP, INC.
Active
Other names
Steward Caso Surgical Associates Hialeah
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE GUAY (PROVIDER ENROLLMENT MANAGER)
(617) 562-5628
Entity
Organization
Contact information
Practice address
7150 W 20TH AVE STE 615, HIALEAH, FL 33016-5511
(305) 820-6657
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
(617) 562-5628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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