Organization
STEPHEN L PAYNE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L PAYNE M.D (OWNER)
(413) 458-0112
Entity
Organization
Contact information
Practice address
227 ADAMS ROAD, WILLIAMSTOWN, MA 01267-2932
(413) 458-0112
(413) 458-5114
Mailing address
227 ADAMS ROAD, WILLIAMSTOWN, MA 01267-2932
(413) 458-0112
(413) 458-5114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58444
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082118A
—
MA
05
—
3116247
—
MA
01
—
DO0293
RAILROAD MEDICARE
—
01
—
J30129
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/20/2008
Last updated
11/18/2016
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