Individual
MICHAEL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1014076
MA
Other
Enumeration date
03/26/2019
Last updated
04/05/2023
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