Organization
STEPHEN J POOR III MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JOSEPH POOR III M.D. (PRESIDENT)
(978) 250-8001
Entity
Organization
Contact information
Practice address
17 VILLAGE SQ, CHELMSFORD, MA 01824-2712
(978) 250-8001
(978) 250-4142
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9724583
—
MA
01
—
M13035
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
05/24/2006
Last updated
08/22/2020
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