Individual
STEPHEN BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 JACQUES AVE, WORCESTER, MA 01610
(774) 312-2444
Mailing address
72 JACQUES AVE, WORCESTER, MA 01610
(774) 312-2444
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN216051
MA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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