Individual
DR. STANLEY P SURETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 SHREWSBURY ST, STE 100, WORCESTER, MA 01604-4613
(508) 755-4861
Mailing address
328 SHREWSBURY ST, STE 100, WORCESTER, MA 01604-4613
(508) 755-4861
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
76499
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122093
—
MA
Enumeration date
11/04/2005
Last updated
11/30/2016
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