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DR. BRUCE GARDNER STEWART

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST FND 216, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 724-4255
(617) 726-3077
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
219252
MA

Other

Enumeration date
11/04/2005
Last updated
07/08/2007
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